Individual provider Active NPI

Laura A. Swingen, D.C., D.A.C.N.B.

  • Neurology Chiropractor
  • Portland, OR
National Provider Identifier
1164480448
Registry record updated Sep 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
27-2662 Issued in OR
Practice address
11507 SW Shilo LN
Portland, OR 97225
Phone
(503) 643-2225
Fax
(503) 520-0514
NPI assigned
May 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 27-2662 OR
Neurology Chiropractor 111NN0400X 27-2662 OR Primary

Addresses

Primary practice location

11507 SW Shilo LN
Portland, OR 97225

Mailing address

11507 SW Shilo LN
Portland, OR 97225-5923
Phone (503) 643-2225

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080716000658 OR Practitioner - Chiropractic 2668545179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
West Coast Chiropractic College, 1990
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11507 SW Shilo LN
Suite E
Portland, OR 97225-5923
Phone (503) 643-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27-2662ORMDNeurology Chiropractor
2662ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Laura a Swingen DC PC Chiropractor CurrentSince Aug 1, 2008 Accepting new patients
Advance Injury Care and Movement Therapy LLC PastSince Aug 1, 2008 Accepting new patients

Locations

11507 SW Shilo Ln
Ste E
Portland, OR 97225
Phone (503) 643-2225

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537142400000",
    "number": "1164480448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11507 SW SHILO LN",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255923",
            "telephone_number": "503-643-2225",
            "fax_number": "503-520-0514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11507 SW SHILO LN",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97225",
            "telephone_number": "503-643-2225",
            "fax_number": "503-520-0514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWINGEN",
        "first_name": "LAURA",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.C., D.A.C.N.B.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2018-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "27-2662",
            "primary": false
        },
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "OR",
            "license": "27-2662",
            "primary": true
        }
    ],
    "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 Sep 17, 2018; 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.