Individual provider Active NPI

Melissa Anne Bartoszewski, D.C

  • Chiropractor
  • Portland, OR
National Provider Identifier
1174896724
Registry record updated Jun 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5660 Issued in OR
Practice address
7232 N Burlington Ave
Portland, OR 97203-4817
Phone
(503) 893-8336
NPI assigned
Feb 13, 2012
Last updated
Jun 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5660 OR Primary
Chiropractor 111N00000X 12368 TX
Chiropractor 111N00000X 4258 NC
Student in an Organized Health Care Education/Training Program 390200000X NY

Addresses

Primary practice location

7232 N Burlington Ave
Portland, OR 97203-4817

Mailing address

7232 N Burlington Ave
Portland, OR 97203-4817
Phone (503) 893-8336

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151125001207 OR Practitioner - Chiropractic 9638314677 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7232 N Burlington Ave
Portland, OR 97203-4817
Phone (503) 893-8336

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5660ORMDChiropractor
12368TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Stumptown Chiropractic, LLC Chiropractor CurrentSince Aug 10, 2022 Accepting new patients

Locations

7232 N Burlington Ave
Portland, OR 97203
Phone (503) 893-8336

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1329091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1174896724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7232 N BURLINGTON AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972034817",
            "telephone_number": "503-893-8336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7232 N BURLINGTON AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972034817",
            "telephone_number": "503-893-8336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTOSZEWSKI",
        "first_name": "MELISSA",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-13",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5660",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12368",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4258",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": null,
            "primary": false
        }
    ],
    "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 Jun 30, 2020; 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.