Individual provider Active NPI

Alexander Roddvik, D.C

  • Chiropractor
  • Hood River, OR
National Provider Identifier
1023301157
Registry record updated Nov 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4104 Issued in OR
Practice address
501 Portway Ave Ste 203
Hood River, OR 97031-1288
Phone
(541) 406-0849
Fax
(541) 716-5274
NPI assigned
May 23, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4104 OR Primary

Addresses

Primary practice location

501 Portway Ave Ste 203
Hood River, OR 97031-1288

Mailing address

1512 Lincoln St
Hood River, OR 97031-1142
Phone (541) 399-0930

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111123000703 OR Practitioner - Chiropractic 9537333760 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hood River Chiropractic and Wellness LLCGroup PAC ID 3173797305, 3 clinicians

Practice addresses (Care Compare)

501 Portway Ave
Suite 203
Hood River, OR 97031-1288
Phone (503) 704-1206

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hood River Chiropractic &Wellness, LLC Chiropractor CurrentSince Nov 9, 2017 Accepting new patients

Locations

501 Portway Ave
Ste 203
Hood River, OR 97031
Phone (503) 704-1206

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": "1306108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1023301157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 LINCOLN ST",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970311142",
            "telephone_number": "541-399-0930",
            "fax_number": "206-339-7388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 PORTWAY AVE STE 203",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970311288",
            "telephone_number": "541-406-0849",
            "fax_number": "541-716-5274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODDVIK",
        "first_name": "ALEXANDER",
        "name_prefix": "Mr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-23",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "4104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hood River, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; 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.