Michael Jay Vissers, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

27-3072 Issued in OR

Practice address

130 SW 2ND Ave Ste 101
Canby, OR 97013-4156

Phone

(503) 263-3033

Fax

(503) 263-3023

NPI assigned

Feb 28, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Locations

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.

• Advanced Health Center, LLC

  dba Canby Spine & Sport

  • Chiropractor
  • Canby, OR
  • NPI 1043491178
  Medicare reassignment NPD Authorized official
• Larry D Jensen DPM PC

  • Foot Surgery Podiatrist
  • Tigard, OR
  • NPI 1083991400
  NPD

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190937600000",
    "number": "1093843302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 N VINE ST",
            "city": "CANBY",
            "state": "OR",
            "postal_code": "970132571",
            "telephone_number": "503-263-8053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 SW 2ND AVE STE 101",
            "city": "CANBY",
            "state": "OR",
            "postal_code": "970134156",
            "telephone_number": "503-263-3033",
            "fax_number": "503-263-3023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISSERS",
        "first_name": "MICHAEL",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "27-3072",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "20436",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "4556",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelley Van Hook, PT, DPT
• Megan Vea, PT, DPT
• Clara Villalobos Andino
• Gabrielle Villasenor
• Kathryn Marie Vincent, MSOT
• Cynthia J Wales
• Walgreen Co (Walgreens #10893)
• Brittany Walker, MA
• Erin M Walker, ND
• Lisa Walker

• Chiropractor in Canby, OR
• Providers in Canby, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2007; 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.