ACTIVE HEALTH CHIROPRACTIC, PC (NPI# 1780989889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780989889 |
| Entity Type | Organization |
| Organization Name | ACTIVE HEALTH CHIROPRACTIC, PC |
| Practice Address |
1217 Plaza Blvd Ste E Central Point OR 97502-2682 |
| Practice Telephone | 5416645566 |
| Mailing Telephone | 5416645566 |
| Enumeration Date | 2011-01-20 |
| Last Update Date | 2011-01-20 |
| Authorized Official Name | DR. JARED LEE DANCE (OWNER) |
| Authorized Official Telephone | 5416645566 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 3555 | OR | Chiropractic Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | ACTIVE HEALTH CHIROPRACTIC, PC | 1093 Royal Ct, Medford, OR 97504 |
| Street Address |
1217 PLAZA BLVD STE E |
| City | CENTRAL POINT |
| State | OR |
| Zip Code | 97502-2682 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437132115 | Kristin Kay Peterson | Physical Therapist | 1217 Plaza Blvd Ste E, Suite 130, Central Point, OR 97502-2682 | 2005-11-28 |
| 1821643685 | Brooke Moore | Physical Therapist | 1217 Plaza Blvd Ste E, Central Point, OR 97502-2682 | 2019-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013459734 | Rebuilding Together Rogue Valley | Home Health | 421 Stone Pointe Drive, Central Point, OR 97502 | 2016-11-11 |
| 1801262431 | Kathleen Marie Vandevender | Behavioral Analyst | 153 Wind Song Drive, Central Point, OR 97502 | 2015-08-18 |
| 1356735112 | Nikole Mcewen | Behavioral Analyst | 2030 Taylor Rd, Central Point, OR 97502 | 2015-03-19 |
| 1619368636 | La Clinica Del Valle Family Health Care Center Inc. | Clinic/Center | 200 W Pine St, Central Point, OR 97502 | 2015-02-12 |
| 1124429360 | Sarah Jean North | Massage Therapist | 2463 Saint James Way, Central Point, OR 97502 | 2014-09-08 |
| 1972928034 | Jennifer Joe-anne Marks | Registered Nurse | 312 Oak St. Ste #205, Central Point, OR 97502 | 2014-02-26 |
| 1578991527 | Lawrence Gerald Whittington | Behavioral Analyst | 6340 Honey Tree Ln., Central Point, OR 97502 | 2013-10-29 |
| 1093141582 | Samuel Joseph Hicks | Behavioral Analyst | 4434 Corey Road, Central Point, OR 97502 | 2013-09-17 |
| 1598191074 | Kathie Ellen Moss | Behavioral Analyst | 5315 Teresa Way, Central Point, OR 97502 | 2013-09-17 |
| 1831525336 | Becky Kay Lunsford | Behavioral Analyst | 640 S. 2nd Street, Family Solutions, Central Point, OR 97502 | 2013-09-17 |
| Find all providers in zip 97502 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619511003 | Nathan Robinson Kahm | Chiropractor | 62 N 3rd St, Central Point, OR 97502-2025 | 2019-10-29 |
| 1952892945 | Southern Oregon Chiropractic-central Point, LLC | Chiropractor | 650 E Pine St Ste 101, Central Point, OR 97502-2482 | 2018-05-24 |
| 1508940156 | Dennis Howard Tall | Chiropractor | 990 S Front St, Central Point, OR 97502-2727 | 2006-10-24 |
| 1437527884 | Dunlap Physicians LLC | Chiropractor | 990 S Front St, Central Point, OR 97502-2727 | 2015-09-02 |
| 1225451735 | Heidi Leigh Henson Dunlap | Chiropractor | 990 S Front St, Central Point, OR 97502-2727 | 2014-02-04 |
| 1043487606 | Nikki Marie Walker | Chiropractor | 990 S Front St, Central Point, OR 97502-2727 | 2008-05-13 |
| 1427121557 | Jared Lee Dance | Chiropractor | 1217 Plaza Blvd, Suite E, Central Point, OR 97502-2681 | 2006-11-16 |
| 1922183011 | Kelty Chiropractic, PC | Chiropractor | 650 E Pine St, Suite 101, Central Point, OR 97502-2400 | 2006-10-26 |
| 1821172487 | Tall Chiropractic Inc. | Chiropractor | 990 S Front St, Central Point, OR 97502-2727 | 2006-10-24 |
| 1770558975 | Robert M Kelty | Chiropractor | 650 E Pine St, #101, Central Point, OR 97502-2400 | 2006-02-21 |
| Find all providers in CENTRAL POINT | ||||
| City | CENTRAL POINT |
| Zip Code | 97502 |
Please comment or provide details below to improve the information on ACTIVE HEALTH CHIROPRACTIC, PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.