Organization Active NPI

Thomas Dutcher D.C., P.C. Inc.

Doing business as Sunrise Chiropractic

  • Chiropractor
  • Damascus, OR
National Provider Identifier
1164747762
Registry record updated Jan 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2563 Issued in OR
Legal business name
THOMAS DUTCHER D.C., P.C. INC.
Doing business as
Sunrise Chiropractic
Practice address
14605 SE 202ND Ave
Damascus, OR 97089
Phone
(503) 658-2225
Fax
(503) 658-4554
NPI assigned
Apr 7, 2010
Last updated
Jan 24, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2012

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

Authorized official

Name
Dr. Thomas Dale Dutcher, D.C.NPI 1477630960
Title
Owner
Phone
(503) 658-2225

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 2563 OR Primary

Addresses

Primary practice location

14605 SE 202ND Ave
Damascus, OR 97089

Mailing address

14605 SE 202ND Ave
Damascus, OR 97089
Phone (503) 658-2225

Other names 1

  • Sunrise Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120124000000 OR Part B Supplier - Clinic/Group Practice 0143497768 Receives reassigned benefits from 1 practitioner
Practice locations: Damascus, OR

National Provider Directory

National Provider Directory

Locations

14605 SE 202nd Ave
Damascus, OR 97089
Phone (503) 658-2225

20320 SE Highway 212
Damascus, OR 97089
Phone (503) 658-2225

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1270598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327363200000",
    "number": "1164747762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14605 SE 202ND AVE",
            "city": "DAMASCUS",
            "state": "OR",
            "postal_code": "97089",
            "telephone_number": "503-658-2225",
            "fax_number": "503-658-4554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14605 SE 202ND AVE",
            "city": "DAMASCUS",
            "state": "OR",
            "postal_code": "97089",
            "telephone_number": "503-658-2225",
            "fax_number": "503-658-4554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS DUTCHER D.C., P.C. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-07",
        "last_updated": "2012-01-24",
        "status": "A",
        "authorized_official_last_name": "DUTCHER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-658-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "2563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Damascus, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.