Individual provider Active NPI

Allie Rene Dashiell, D.C., M.S.

  • Chiropractor
  • Portland, OR
National Provider Identifier
1033547732
Registry record updated Feb 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5503 Issued in OR
Practice address
4922 N Vancouver Ave
Portland, OR 97217-2826
Phone
(503) 493-9398
Fax
(503) 493-9518
NPI assigned
Oct 16, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5503 OR Primary

Addresses

Primary practice location

4922 N Vancouver Ave
Portland, OR 97217-2826

Mailing address

4922 N Vancouver Ave
Portland, OR 97217-2826
Phone (503) 493-9398

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171129002510 OR Practitioner - Chiropractic 1052695293 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6040 SE Belmont St
Suite 1230
Portland, OR 97215-1974
Phone (503) 236-8701

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Chiropractic and Acupuncture Chiropractor CurrentSince Jan 19, 2017 Accepting new patients
Sourcing Vitality, Inc. Past Accepting new patients

Locations

6040 SE Belmont St
Ste 1230
Portland, OR 97215
Phone (503) 236-8701

Organizations & group practices 2

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": "1381881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392249600000",
    "number": "1033547732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4922 N VANCOUVER AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972172826",
            "telephone_number": "503-493-9398",
            "fax_number": "503-493-9518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4922 N VANCOUVER AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972172826",
            "telephone_number": "503-493-9398",
            "fax_number": "503-493-9518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DASHIELL",
        "first_name": "ALLIE",
        "middle_name": "RENE",
        "credential": "D.C., M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-16",
        "last_updated": "2014-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5503",
            "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 Feb 13, 2014; 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.