Individual provider Active NPI

Michael William Hickel, D.C.

  • Chiropractor
  • Portland, OR
National Provider Identifier
1023140969
Registry record updated Aug 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
27-3057 Issued in OR
Practice address
8305 SE Monterey Ave Ste 104
Portland, OR 97086
Phone
(503) 786-7786
Fax
(503) 786-7191
NPI assigned
Mar 9, 2007
Last updated
Aug 18, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 27-3057 OR Primary

Addresses

Primary practice location

8305 SE Monterey Ave Ste 104
Portland, OR 97086

Mailing address

8305 SE Monterey Ave Ste 104
Portland, OR 97086-7728
Phone (503) 786-7786

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27-3057ORMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Power Chiropractic Clinic Chiropractor PastSince Jan 1, 2004 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313625600000",
    "number": "1023140969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8305 SE MONTEREY AVE STE 104",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "970867728",
            "telephone_number": "503-786-7786",
            "fax_number": "503-786-7191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8305 SE MONTEREY AVE STE 104",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97086",
            "telephone_number": "503-786-7786",
            "fax_number": "503-786-7191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKEL",
        "first_name": "MICHAEL",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-09",
        "last_updated": "2011-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "27-3057",
            "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 Aug 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.