Active NPI
Nathan Cokeley, D.C.
- Chiropractor
- Tigard, OR
National Provider Identifier
1073841003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3972
- Practice address
- 11545 SW Durham Rd Ste B9
Tigard, OR 97224-3473 - Phone
- (503) 639-0778
- NPI assigned
- Dec 2, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3972 | OR | Primary |
Addresses
Primary practice location
11545 SW Durham Rd Ste B9
Tigard, OR 97224-3473
Mailing address
11545 SW Durham Rd Ste B9
Tigard, OR 97224-3473
Phone (503) 639-0778
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Western States College of Chiropractic, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11565 SW Durham Rd
Suite 110
Tigard, OR 97224-3553
Phone (503) 639-0778
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Chiropractic, LLC | Chiropractor | Current | Accepting new patients |
Locations
11545 SW Durham Rd
Ste B9
Tigard, OR 97224
Phone (503) 624-7249
11565 SW Durham Rd
Ste 110
Tigard, OR 97224
Phone (503) 639-0774
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.
-
- Chiropractor
- Tigard, OR
- NPI 1881876704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259712000000",
"number": "1073841003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11545 SW DURHAM RD STE B9",
"city": "TIGARD",
"state": "OR",
"postal_code": "972243473",
"telephone_number": "503-639-0778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11545 SW DURHAM RD STE B9",
"city": "TIGARD",
"state": "OR",
"postal_code": "972243473",
"telephone_number": "503-639-0778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COKELEY",
"first_name": "NATHAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-12-02",
"last_updated": "2009-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "3972",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tigard, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2009; 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.