Individual provider Active NPI

Robert Allen Ferrell, DC

  • Chiropractor
  • Central Point, OR
National Provider Identifier
1194305052
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6148 Issued in OR
Practice address
547 E Pine St Ste 102
Central Point, OR 97502-2444
Phone
(541) 414-0362
Fax
(541) 200-2269
NPI assigned
Apr 13, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 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 6148 OR Primary

Addresses

Primary practice location

547 E Pine St Ste 102
Central Point, OR 97502-2444

Mailing address

PO Box 3160
Central Point, OR 97502-0006
Phone (541) 414-0362

Other practice location 1

1663 Williams Hwy
Grants Pass, OR 97527-5699
Phone (541) 479-1289

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240220002460 OR Practitioner - Chiropractic 0749624500 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Southern Oregon Chiropractic-Central Point, LLCGroup PAC ID 5395095434, 3 clinicians

Practice addresses (Care Compare)

547 E Pine St
Suite 102
Medford, OR 97502-2444
Phone (541) 414-0362

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6148ORMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Oregon Chiropractic - Klamath Falls Chiropractor CurrentSince Feb 4, 2024 Accepting new patients
Southern Oregon Hbot LLC CurrentSince May 25, 2021 Accepting new patients
Southern Oregon Chiropractic-Central Point, LLC Chiropractor CurrentSince Feb 1, 2024 Accepting new patients
Southern Oregon Childrens Clinic CurrentSince Feb 4, 2024 Accepting new patients

Locations

1663 Williams Hwy
Grants Pass, OR 97527
Phone (541) 479-1289

547 E Pine St
Ste 102
Medford, OR 97502
Phone (541) 245-4444

891 Ohare Pkwy
Medford, OR 97504
Phone (541) 200-2243

Organizations & group practices 4

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": "1618272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1194305052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3160",
            "city": "CENTRAL POINT",
            "state": "OR",
            "postal_code": "975020006",
            "telephone_number": "541-414-0362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "547 E PINE ST STE 102",
            "city": "CENTRAL POINT",
            "state": "OR",
            "postal_code": "975022444",
            "telephone_number": "541-414-0362",
            "fax_number": "541-200-2269"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1663 Williams Hwy",
            "address_purpose": "LOCATION",
            "city": "Grants Pass",
            "state": "OR",
            "postal_code": "975275699",
            "country_code": "US",
            "telephone_number": "541-479-1289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERRELL",
        "first_name": "ROBERT",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-13",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "6148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Central Point, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.