Individual provider Active NPI

Joshua Paloma, D.C.

  • Chiropractor
  • Portland, OR
National Provider Identifier
1114065307
Registry record updated Nov 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
27-3308 Issued in OR
Practice address
2100 NE Broadway St
Suite 125
Portland, OR 97232-1569
Phone
(503) 477-8222
Fax
(971) 373-8648
NPI assigned
Feb 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 27-3308 OR Primary

Addresses

Primary practice location

2100 NE Broadway St
Suite 125
Portland, OR 97232-1569

Mailing address

2100 NE Broadway St
Suite 125
Portland, OR 97232-1569
Phone (503) 477-8222

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170302001319 OR Practitioner - Chiropractic 0749578557 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2100 NE Broadway St
Suite 125
Portland, OR 97232-1500
Phone (503) 477-8222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3308ORMDClinical Child & Adolescent Psychologist
27-3308ORMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Haleola Chiropractic Inc Chiropractor CurrentSince Feb 1, 2017 Accepting new patients
Haleola Chiropractic Inc Chiropractor PastSince Feb 1, 2017 Accepting new patients

Locations

2100 NE Broadway St
Ste 125
Portland, OR 97232
Phone (503) 477-8222

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479686400000",
    "number": "1114065307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 NE BROADWAY ST",
            "address_2": "SUITE 125",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321569",
            "telephone_number": "503-477-8222",
            "fax_number": "971-373-8648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 NE BROADWAY ST",
            "address_2": "SUITE 125",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321569",
            "telephone_number": "503-477-8222",
            "fax_number": "971-373-8648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALOMA",
        "first_name": "JOSHUA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2016-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "27-3308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; 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.