Active NPI
Erica Marie Staehle, D.C.
- Chiropractor
- Bend, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5159
- Practice address
- 628 NW York Dr Ste 104
Bend, OR 97703-1572 - Phone
- (541) 388-2429
- Fax
- (541) 388-3429
- NPI assigned
- Aug 12, 2013
- Last updated
- Nov 28, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5159 | OR | Primary |
Addresses
Primary practice location
628 NW York Dr Ste 104
Bend, OR 97703-1572
Mailing address
628 NW York Dr Ste 104
Bend, OR 97703-1572
Phone (541) 388-2429
Other practice location 1
3716 SE International Way
Milwaukie, OR 97222
Phone (503) 659-0073
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.nwxhealth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Western States College of Chiropractic, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
628 NW York Dr
Suite 104
Bend, OR 97703-1572
Phone (541) 388-2429
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theresa M. Rubadue-Doi DC, LLC | Chiropractor | Current | Accepting new patients |
| Erica M. Staehle, LLC | Current | Accepting new patients | |
| Milwaukie Chiropractic Center | Chiropractor | Past | Accepting new patients |
Locations
628 NW York Dr
Ste 104
Bend, OR 97703
Phone (541) 383-8988
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba NorthWest Crossing Chiropractic & Health
- Sports Physician Chiropractor
- Bend, OR
- NPI 1548664279
-
dba Milwaukie Chiropractic Center
- Chiropractor
- Milwaukie, OR
- NPI 1659431286
-
dba NorthWest Crossing Chiropractic & Health
- Chiropractor
- Bend, OR
- NPI 1205546629
-
- Chiropractor
- Milwaukie, OR
- NPI 1174564934
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669593600000",
"number": "1205269446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "628 NW YORK DR STE 104",
"city": "BEND",
"state": "OR",
"postal_code": "977031572",
"telephone_number": "541-388-2429",
"fax_number": "541-388-3429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "628 NW YORK DR STE 104",
"city": "BEND",
"state": "OR",
"postal_code": "977031572",
"telephone_number": "541-388-2429",
"fax_number": "541-388-3429"
}
],
"practiceLocations": [
{
"address_1": "3716 SE International Way",
"address_purpose": "LOCATION",
"city": "Milwaukie",
"state": "OR",
"postal_code": "97222",
"country_code": "US",
"telephone_number": "503-659-0073",
"fax_number": "503-659-7471",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STAEHLE",
"first_name": "ERICA",
"middle_name": "MARIE",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-12",
"last_updated": "2022-11-28",
"certification_date": "2022-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "5159",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.nwxhealth.com",
"affiliation": "N",
"address_1": "628 NW York Dr Ste 104",
"city": "Bend",
"state": "OR",
"country_code": "US",
"postal_code": "977031572",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; 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.