NPIMap

Organization Active NPI

Haleola Chiropractic Inc

Doing business as Paloma Chiropractic and Massage Therapy

  • Chiropractor
  • Portland, OR
National Provider Identifier
1023374253
Registry record updated Nov 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
HALEOLA CHIROPRACTIC INC
Doing business as
Paloma Chiropractic and Massage Therapy
Practice address
2100 NE Broadway St
Suite 125
Portland, OR 97232-1569
Phone
(503) 477-8222
Fax
(971) 373-8648
NPI assigned
Apr 2, 2012
Last updated
Nov 22, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2016

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

Authorized official

Name
Joshua Paloma, DCNPI 1114065307
Title
Owner
Phone
(503) 477-8222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

2100 NE Broadway St
Suite 125
Portland, OR 97232-1569

Mailing address

2100 NE Broadway St
Suite 125
Portland, OR 97232-1569
Phone (503) 477-8222

Other names 1

  • Paloma Chiropractic and Massage Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170302001290 OR Part B Supplier - Clinic/Group Practice 9830487644 Receives reassigned benefits from 1 practitioner
Practice locations: Portland, OR

National Provider Directory

National Provider Directory
Tax ID family
Haleola Chiropractic Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1333324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479772800000",
    "number": "1023374253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 NE BROADWAY ST",
            "address_2": "SUITE 125",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321569",
            "telephone_number": "503-477-8222",
            "fax_number": "971-373-8648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 NE BROADWAY ST",
            "address_2": "SUITE 125",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321569",
            "telephone_number": "503-477-8222",
            "fax_number": "971-373-8648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALEOLA CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-02",
        "last_updated": "2016-11-22",
        "status": "A",
        "authorized_official_last_name": "PALOMA",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-477-8222",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paloma Chiropractic and Massage Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.