Individual provider Active NPI

Jacob Malpass, D.C.

  • Chiropractor
  • Newberg, OR
National Provider Identifier
1124386289
Registry record updated Jan 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5050 Issued in OR
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

Updated by the provider on Jan 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20150323002457 OR Practitioner - Chiropractic 2567789928 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Newberg Family Chiropractic PCGroup PAC ID 0941209936, 2 clinicians

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

OrganizationSpecialtyStatusNew patients
Newberg Family Chiropractic PC Chiropractor CurrentSince Jan 2, 2015 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.

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.

Verify at the official NPI Registry.