Individual provider Active NPI

Jill M Bemis, D.C.

  • Chiropractor
  • Prineville, OR
National Provider Identifier
1053575308
Registry record updated Sep 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2260 Issued in OR
Practice address
124 NW 2ND St
Prineville, OR 97754-1808
Phone
(541) 948-9988
Fax
(866) 411-9336
NPI assigned
Jul 16, 2008
Last updated
Sep 16, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2260 OR Primary

Addresses

Primary practice location

124 NW 2ND St
Prineville, OR 97754-1808

Mailing address

124 NW 2ND St
Prineville, OR 97754-1808
Phone (541) 948-9988

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080916000506 OR Practitioner - Chiropractic 9032285622 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

124 NW 2ND St
Prineville, OR 97554-1808
Phone (541) 447-1043

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2260ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Healthcare Alliance Chiropractor CurrentSince Aug 15, 2008 Accepting new patients

Locations

124 NW 2nd St
Prineville, OR 97754
Phone (541) 447-1042

Networks

  • WA PPO C-SNP

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": "1216166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221523200000",
    "number": "1053575308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 NW 2ND ST",
            "city": "PRINEVILLE",
            "state": "OR",
            "postal_code": "977541808",
            "telephone_number": "541-948-9988",
            "fax_number": "866-411-9336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 NW 2ND ST",
            "city": "PRINEVILLE",
            "state": "OR",
            "postal_code": "977541808",
            "telephone_number": "541-948-9988",
            "fax_number": "866-411-9336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEMIS",
        "first_name": "JILL",
        "middle_name": "M",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-16",
        "last_updated": "2008-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "2260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prineville, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; 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.