Individual provider Active NPI

Edward Payson Flattery, N.D.,D.C.,P.C.

  • Chiropractor
  • Bend, OR
National Provider Identifier
1114043247
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
27-3241 Issued in OR
Practice address
464 NE Norton Ave
Bend, OR 97701-4387
Phone
(541) 323-3358
Fax
(541) 323-3358
NPI assigned
Mar 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NS0005X 27-3241 OR
Naturopath 175F00000X 1062 OR
Chiropractor 111N00000X 27-3241 OR Primary

Addresses

Primary practice location

464 NE Norton Ave
Bend, OR 97701-4387

Mailing address

464 NE Norton Ave
Bend, OR 97701-4387
Phone (541) 322-3358

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050419000895 OR Practitioner - Chiropractic 7911945134 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Payson Flattery ND DC PCGroup PAC ID 3274551379, 3 clinicians

Practice addresses (Care Compare)

464 NE Norton Ave
Bend, OR 97701-4387
Phone (541) 323-3358

Hospital & facility affiliations

  • St Charles Medical Center - Bend Hospital, Bend, OR, CCN 380047

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27-3241ORMDSports Physician Chiropractor
1062ORMDNaturopath
3241ORMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Payson Flattery ND DC PC Chiropractor CurrentSince Jul 1, 2005 Accepting new patients

Locations

464 NE Norton Ave
Bend, OR 97701
Phone (541) 323-3358

639 SW Highland Ave
Redmond, OR 97756
Phone (541) 504-0250

Interoperability endpoints

  • Direct secure messaging: edward.p.flattery@cfim-or.direct.office.nextgen.com

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1114043247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 NE NORTON AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014387",
            "telephone_number": "541-322-3358",
            "fax_number": "541-322-3359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 NE NORTON AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014387",
            "telephone_number": "541-323-3358",
            "fax_number": "541-323-3358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLATTERY",
        "first_name": "EDWARD",
        "middle_name": "PAYSON",
        "name_prefix": "Dr.",
        "credential": "N.D.,D.C.,P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "OR",
            "license": "27-3241",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "1062",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "27-3241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.