Individual provider Active NPI

Grant Schoen

  • Chiropractor
  • Portland, OR
National Provider Identifier
1124569017
Registry record updated Oct 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6162 Issued in OR
Practice address
2525 NW Lovejoy St Ste 101
Portland, OR 97210-2861
Phone
(503) 746-9926
NPI assigned
Mar 13, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6162 OR Primary
Chiropractor 111N00000X 33748 CA

Addresses

Primary practice location

2525 NW Lovejoy St Ste 101
Portland, OR 97210-2861

Mailing address

2525 NW Lovejoy St Ste 101
Portland, OR 97210-2861
Phone (503) 746-9926

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220825002946 OR Practitioner - Chiropractic 9234491267 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2525 NW Lovejoy St
Suite 101
Portland, OR 97210-2861
Phone (503) 746-9926

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33748CAMDChiropractor
6162ORMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Rogue Spine Center LLC Chiropractor CurrentSince Feb 1, 2022 Accepting new patients
Levin and Miller Chiropractic Corporation Chiropractor Past Accepting new patients

Locations

2525 NW Lovejoy St
Ste 101
Portland, OR 97210
Phone (503) 746-9926

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": "1489363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1124569017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 NW LOVEJOY ST STE 101",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102861",
            "telephone_number": "503-746-9926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 NW LOVEJOY ST STE 101",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102861",
            "telephone_number": "503-746-9926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOEN",
        "first_name": "GRANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-13",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "6162",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33748",
            "primary": false
        }
    ],
    "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 Oct 13, 2021; 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.