Individual provider Active NPI

Dylan Savage, DC

  • Sports Physician Chiropractor
  • Portland, OR
National Provider Identifier
1003637802
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
6408 Issued in OR
Practice address
1030 NW Marshall St
Portland, OR 97209-2988
Phone
(503) 227-2279
NPI assigned
Oct 23, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 6408 OR Primary

Addresses

Primary practice location

1030 NW Marshall St
Portland, OR 97209-2988

Mailing address

14450 SW Walton St
Beaverton, OR 97006-5949
Phone (503) 351-5780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241119001381 OR Practitioner - Chiropractic 4082149737 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Hosmer Chiropractic Health LLCGroup PAC ID 6507025228, 9 clinicians

Practice addresses (Care Compare)

1030 NW Marshall St
Portland, OR 97209-2988
Phone (503) 227-2279

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6408ORMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Hosmer Chiropractic Health LLC CurrentSince Oct 28, 2024 Accepting new patients

Locations

1030 NW Marshall St
Portland, OR 97209
Phone (503) 227-2279

7689 SW Capitol Hwy
Portland, OR 97219
Phone (503) 445-4454

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1729641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1003637802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14450 SW WALTON ST",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970065949",
            "telephone_number": "503-351-5780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 NW MARSHALL ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092988",
            "telephone_number": "503-227-2279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAVAGE",
        "first_name": "DYLAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-23",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "OR",
            "license": "6408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.