Individual provider Active NPI

Philip Charles Degreef, DC

  • Chiropractor
  • Wilsonville, OR
National Provider Identifier
1164071742
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1111 Issued in ND
Practice address
9375 SW Commerce Cir Ste A1
Wilsonville, OR 97070-9630
Phone
(503) 582-9200
NPI assigned
Sep 6, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1111 ND Primary

Addresses

Primary practice location

9375 SW Commerce Cir Ste A1
Wilsonville, OR 97070-9630

Mailing address

9375 SW Commerce Cir Ste A1
Wilsonville, OR 97070-9630

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240530003193 OR Practitioner - Chiropractic 1052749033 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Complete Care Chiropractic PCGroup PAC ID 0547336877, 3 clinicians

Practice addresses (Care Compare)

29292 SW Town Ctr Loop E
Suite B
Wilsonville, OR 97070-9491
Phone (503) 582-9200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1111NDMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Care Chiropractic PC CurrentSince Apr 16, 2024 Accepting new patients
Complete Care Chiropractic and Massage Past Accepting new patients
Horizon Chiropractic & Wellness PC Chiropractor Past Accepting new patients

Locations

9375 SW Commerce Cir
Ste A1
Wilsonville, OR 97070
Phone (503) 582-9200

29292 SW Town Center Loop E
Ste B
Wilsonville, OR 97070
Phone (503) 582-9200

Organizations & group practices 3

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": "1567728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1164071742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9375 SW COMMERCE CIR STE A1",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970709630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9375 SW COMMERCE CIR STE A1",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970709630",
            "telephone_number": "503-582-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGREEF",
        "first_name": "PHILIP",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-06",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "1111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilsonville, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.