Active Sports and Family Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ACTIVE SPORTS AND FAMILY CHIROPRACTIC LLC

Practice address

1529 NE F Street
Grants Pass, OR 97526

Phone

(541) 476-0662

Fax

(541) 476-0541

NPI assigned

Nov 29, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Corey O'Neil, DC

Title

Owner

Phone

(541) 476-0662

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nathan Robinson Kahm, DC

  • Chiropractor
  • Central Point, OR
  • NPI 1619511003
  Medicare reassignment NPD
• Corey O'Neill, D.C

  • Chiropractor
  • Medford, OR
  • NPI 1023445327
  Medicare reassignment NPD
• Michael Hults, DC

  • Chiropractor
  • Grants Pass, OR
  • NPI 1730869306
  NPD
• Nicholas Lee Wood, D.C.

  • Chiropractor
  • Medford, OR
  • NPI 1609604586
  NPD
• Dereck Desmond Shaw, L.AC.

  • Acupuncturist
  • Grants Pass, OR
  • NPI 1124863857
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1543449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720396800000",
    "number": "1982174264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1529 NE F STREET",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "97526",
            "telephone_number": "541-476-0662",
            "fax_number": "541-476-0541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1529 NE F STREET",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "97526",
            "telephone_number": "541-476-0662",
            "fax_number": "541-476-0541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE SPORTS AND FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-29",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A",
        "authorized_official_last_name": "O'NEIL",
        "authorized_official_first_name": "COREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-476-0662",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Accessible Mobile Dental Hygiene LLC
• Accessible Mobile Dental Hygiene LLC
• Carlos Acevedo
• Jason Ray Achee
• Action Rehabilitation & Sports Medicine, P.C.
• Acupuncture and Herbal Medical Center
• Acupuncture at Riverside
• Mark Adams, FNP
• Adapt
• Adapt

• All providers in Grants Pass, OR
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.