NEWPORT CHIROPRACTIC – NPI #1295004612
Clinic/Center

NEWPORT CHIROPRACTIC is an AHC clinic located in NEWPORT, OR. NPPES has assigned the NPI number 1295004612 to NEWPORT CHIROPRACTIC on December 14, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “NEWPORT CHIROPRACTIC” is a dba name, the actual legal business name for this organization is INTEGRATED BODY THERAPEUTICS LLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QM1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Multi-Specialty

The NPI profile was previously updated about 2 years ago on Jan 24, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NEWPORT CHIROPRACTIC below.

NPI Profile for
INTEGRATED BODY THERAPEUTICS LLC

NPI Number
1295004612
Enumeration Date

(more than 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
INTEGRATED BODY THERAPEUTICS LLC
Doing Business As (dba): NEWPORT CHIROPRACTIC
Primary location
344 SW 7TH ST
SUITE D
NEWPORT, OR 97365
Phone: (541) 265-8680 Fax: (541) 265-9595
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KENNETH BISHOP
SOLE MEMBER LLC/PHYCIAN
Phone: (541) 265-8680
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM1300X
- Clinic/Center / Multi-Specialty (Primary)
OR 817822-95
111N00000X
- Chiropractor
OR 3854

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.