Organization Active NPI

High Desert Spine

  • Chiropractor
  • Redmond, OR
National Provider Identifier
1134066921
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
HIGH DESERT SPINE
Practice address
813 SW Highland Ave Ste 103
Redmond, OR 97756-3103
Phone
(541) 516-0060
Fax
(541) 981-5139
NPI assigned
Apr 30, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Authorized official

Name
Dr. Jacob A Hernandez, DCNPI 1699557892
Title
Doctor of Chiropractic
Phone
(541) 516-0060

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

813 SW Highland Ave Ste 103
Redmond, OR 97756-3103

Mailing address

813 SW Highland Ave Ste 103
Redmond, OR 97756-3103
Phone (541) 516-0060

National Provider Directory

National Provider Directory

Locations

813 SW Highland Ave
Ste 103
Redmond, OR 97756
Phone (541) 516-0060

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1777507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777507200000",
    "number": "1134066921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 SW HIGHLAND AVE STE 103",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977563103",
            "telephone_number": "541-516-0060",
            "fax_number": "541-981-5139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 SW HIGHLAND AVE STE 103",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977563103",
            "telephone_number": "541-516-0060",
            "fax_number": "541-981-5139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH DESERT SPINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-30",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "541-516-0060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.