Individual provider Active NPI

Maurice Napolean Cephus II, D.C.

  • Chiropractor
  • Aloha, OR
National Provider Identifier
1104127422
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3548 Issued in OR
Practice address
19755 SW TV Hwy
Aloha, OR 97003-2338
Phone
(503) 430-5915
Fax
(503) 746-4246
NPI assigned
Nov 3, 2010
Last updated
Mar 2, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3548 OR Primary

Addresses

Primary practice location

19755 SW TV Hwy
Aloha, OR 97003-2338

Mailing address

19755 SW TV Hwy
Aloha, OR 97003-2338
Phone (503) 430-5915

Other practice location 1

5295 NE Elam Young Pkwy
Suite 150
Hillsboro, OR 97124-7567
Phone (503) 530-8517

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3548ORMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Cephus Chiropractic LLC CurrentSince Mar 7, 2021 Accepting new patients
Duncan Health Centers LLC Chiropractor Past Accepting new patients

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, 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": "1288742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1104127422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19755 SW TV HWY",
            "city": "ALOHA",
            "state": "OR",
            "postal_code": "970032338",
            "telephone_number": "503-430-5915",
            "fax_number": "503-746-4246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19755 SW TV HWY",
            "city": "ALOHA",
            "state": "OR",
            "postal_code": "970032338",
            "telephone_number": "503-430-5915",
            "fax_number": "503-746-4246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5295 NE Elam Young Pkwy",
            "address_2": "Suite 150",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "OR",
            "postal_code": "971247567",
            "country_code": "US",
            "telephone_number": "503-530-8517",
            "fax_number": "503-530-8537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CEPHUS",
        "first_name": "MAURICE",
        "middle_name": "NAPOLEAN",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-03",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aloha, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.