NPIMap

Organization Active NPI

Advanced Spinal Fitness Chir

  • Chiropractor
  • Rainier, OR
National Provider Identifier
1982667937
Registry record updated Nov 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
21717 Issued in OR
Legal business name
ADVANCED SPINAL FITNESS CHIR
Practice address
101 5TH St West
Rainier, OR 97048-1641
Phone
(503) 556-2353
Fax
(503) 556-2353
NPI assigned
Apr 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2007

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

Authorized official

Name
Dr. Ruth Trenner, DCNPI 1093776197
Title
President
Phone
(503) 556-2353

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 21717 OR Primary

Addresses

Primary practice location

101 5TH St West
Rainier, OR 97048-1641

Mailing address

PO Box 1641
Rainier, OR 97048-1641
Phone (503) 556-2353

National Provider Directory

National Provider Directory

Locations

101 W 5th St
Rainier, OR 97048
Phone (503) 556-2353

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196294400000",
    "number": "1982667937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1641",
            "city": "RAINIER",
            "state": "OR",
            "postal_code": "970481641",
            "telephone_number": "503-556-2353",
            "fax_number": "503-556-3065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 5TH ST WEST",
            "city": "RAINIER",
            "state": "OR",
            "postal_code": "970481641",
            "telephone_number": "503-556-2353",
            "fax_number": "503-556-2353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SPINAL FITNESS CHIR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-10",
        "last_updated": "2007-11-29",
        "status": "A",
        "authorized_official_last_name": "TRENNER",
        "authorized_official_first_name": "RUTH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-556-2353",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "21717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rainier, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.