Active NPI
Michael L Underhill, D.C.
- Chiropractor
- Beaverton, OR
National Provider Identifier
1013073634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- OR1705
- Practice address
- 14685 SW Millikan Way
Beaverton, OR 97006-2999 - Phone
- (503) 646-2278
- Fax
- (888) 280-0171
- NPI assigned
- Dec 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | OR1705 | OR | Primary |
Addresses
Primary practice location
14685 SW Millikan Way
Beaverton, OR 97006-2999
Mailing address
14685 SW Millikan Way
Beaverton, OR 97006-2999
Phone (503) 646-2278
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 931138027 | Other | OR | FEDERAL TAX ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040607000061 | OR | Practitioner - Chiropractic | 1456333160 | Practice locations: Beaverton, OR |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Western States College of Chiropractic, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
14685 SW Millikan Way
Beaverton, OR 97003-2999
Phone (503) 646-2278
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OR1705 | OR | MD | Chiropractor |
| 1705 | OR | MD | Naturopath |
Networks
- WA PPO C-SNP
- devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229990400000",
"number": "1013073634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14685 SW MILLIKAN WAY",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970062999",
"telephone_number": "503-646-2278",
"fax_number": "888-280-0171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14685 SW MILLIKAN WAY",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970062999",
"telephone_number": "503-646-2278",
"fax_number": "888-280-0171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UNDERHILL",
"first_name": "MICHAEL",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-28",
"last_updated": "2008-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "OR1705",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL TAX ID",
"identifier": "931138027",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2008; 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.