Active NPI
Patrick John George, D.C.
- Chiropractor
- McMinnville, OR
National Provider Identifier
1154498830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 27 1988
- Practice address
- 1316 NE Highway 99W
McMinnville, OR 97128-2723 - Phone
- (503) 434-6603
- Fax
- (503) 434-6746
- NPI assigned
- Nov 29, 2006
- 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 | 27 1988 | OR | Primary |
Addresses
Primary practice location
1316 NE Highway 99W
McMinnville, OR 97128-2723
Mailing address
1316 NE Highway 99W
McMinnville, OR 97128-2723
Phone (503) 434-6603
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 107946 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1988 | OR | MD | Clinical Social Worker |
| 27 1988 | OR | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192752000000",
"number": "1154498830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1316 NE HIGHWAY 99W",
"city": "MCMINNVILLE",
"state": "OR",
"postal_code": "971282723",
"telephone_number": "503-434-6603",
"fax_number": "503-434-6746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1316 NE HIGHWAY 99W",
"city": "MCMINNVILLE",
"state": "OR",
"postal_code": "971282723",
"telephone_number": "503-434-6603",
"fax_number": "503-434-6746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEORGE",
"first_name": "PATRICK",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-29",
"last_updated": "2007-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "27 1988",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "107946",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in McMinnville, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.