Active NPI
Jacob Malpass, D.C.
- Chiropractor
- Newberg, OR
National Provider Identifier
1124386289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5050
- Practice address
- 114 E Hancock St
Newberg, OR 97132-2822 - Phone
- (503) 554-0661
- Fax
- (503) 554-9126
- NPI assigned
- Apr 26, 2012
- Sex
- Male
- Sole proprietor
- No
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 | 5050 | OR | Primary |
Addresses
Primary practice location
114 E Hancock St
Newberg, OR 97132-2822
Mailing address
114 E Hancock St
Newberg, OR 97132
Phone (503) 554-0661
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, 2012
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
114 E Hancock St
Newberg, OR 97132-2822
Phone (503) 554-0661
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newberg Family Chiropractic PC | Chiropractor | Current | Accepting new patients |
Locations
114 E Hancock St
Newberg, OR 97132
Phone (503) 537-4211
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
- Newberg, OR
- NPI 1295844116
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422489600000",
"number": "1124386289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 E HANCOCK ST",
"city": "NEWBERG",
"state": "OR",
"postal_code": "97132",
"telephone_number": "503-554-0661",
"fax_number": "503-554-9126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 E HANCOCK ST",
"city": "NEWBERG",
"state": "OR",
"postal_code": "971322822",
"telephone_number": "503-554-0661",
"fax_number": "503-554-9126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALPASS",
"first_name": "JACOB",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-26",
"last_updated": "2015-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "5050",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newberg, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2015; 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.