Organization Active NPI

King Professional Chiropractic Care PC

  • Chiropractor
  • Portland, OR
National Provider Identifier
1982851978
Registry record updated Aug 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1386 Issued in OR
Legal business name
KING PROFESSIONAL CHIROPRACTIC CARE PC
Practice address
15348 SE Division St
Portland, OR 97236-2345
Phone
(503) 761-9076
Fax
(503) 761-9679
NPI assigned
Aug 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2008

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

Authorized official

Name
Dr. William Ross King Jr., D.C.
Title
Ceo
Phone
(503) 761-9076

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1386 OR Primary

Addresses

Primary practice location

15348 SE Division St
Portland, OR 97236-2345

Mailing address

15348 SE Division St
Portland, OR 97236-2345
Phone (503) 761-9076

Other names 1

  • King Chiropractic Clinic SE Doing business as

National Provider Directory

National Provider Directory

Locations

15348 SE Division St
Portland, OR 97236
Phone (503) 761-9076

Practitioners & affiliated clinicians

Practitioners 2

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": "1219276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219276800000",
    "number": "1982851978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15348 SE DIVISION ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972362345",
            "telephone_number": "503-761-9076",
            "fax_number": "503-761-9679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15348 SE DIVISION ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972362345",
            "telephone_number": "503-761-9076",
            "fax_number": "503-761-9679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING PROFESSIONAL CHIROPRACTIC CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-21",
        "last_updated": "2008-08-21",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "ROSS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "503-761-9076",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "1386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "King Chiropractic Clinic SE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; 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.