Active NPI
Noah G. Jarvie, D.C.
- Chiropractor
- Rogue River, OR
National Provider Identifier
1023098050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 27-3173
- Practice address
- 109 W Main St Unit 2
Rogue River, OR 97537-9611 - Phone
- (541) 582-6508
- Fax
- (541) 582-6530
- NPI assigned
- Jan 17, 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 | 27-3173 | OR | Primary |
Addresses
Primary practice location
109 W Main St Unit 2
Rogue River, OR 97537-9611
Mailing address
109 W Main St
Unit 2
Rogue River, OR 97537-9611
Phone (541) 582-6508
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110802000497 | OR | Practitioner - Chiropractic | 0143214049 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
109 W Main St
Suite 2
Rogue River, OR 97537-9611
Phone (541) 582-6508
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27-3173 | OR | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rogue River Chiropractic PC | Chiropractor | Current | Accepting new patients |
Locations
510 E Main St
Rogue River, OR 97537
Phone (541) 450-9272
109 W Main St
Unit 2
Rogue River, OR 97537
Phone (541) 582-6508
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.
-
- Chiropractor
- Rogue River, OR
- NPI 1114112422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693958400000",
"number": "1023098050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 W MAIN ST",
"address_2": "UNIT 2",
"city": "ROGUE RIVER",
"state": "OR",
"postal_code": "975379611",
"telephone_number": "541-582-6508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 W MAIN ST UNIT 2",
"city": "ROGUE RIVER",
"state": "OR",
"postal_code": "975379611",
"telephone_number": "541-582-6508",
"fax_number": "541-582-6530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARVIE",
"first_name": "NOAH",
"middle_name": "G.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-17",
"last_updated": "2023-09-06",
"certification_date": "2023-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "27-3173",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rogue River, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.