Active NPI
Michael P Thille, DC
- Orthopedic Chiropractor
- Redmond, OR
National Provider Identifier
1205907813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Chiropractor
- License
- 27-2309
- Practice address
- 117 NW Larch Ave
Redmond, OR 97756-1322 - Phone
- (541) 548-4014
- Fax
- (541) 548-0544
- NPI assigned
- Nov 13, 2006
- Last updated
- Jul 9, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthopedic Chiropractor | 111NX0800X | 27-2309 | OR | Primary |
Addresses
Primary practice location
117 NW Larch Ave
Redmond, OR 97756-1322
Mailing address
117 NW Larch Ave
Redmond, OR 97756-1322
Phone (541) 548-4014
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 122507 | Other | OR | OMAP |
| 058771001 | Other | OR | BLUE CROSS |
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, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
117 NW Larch Ave
Redmond, OR 97756-1322
Phone (541) 548-4014
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27-2309 | OR | MD | Orthopedic Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiropractic Associates PC | Orthopedic | Current | Accepting new patients |
Locations
117 NW Larch Ave
Redmond, OR 97756
Phone (541) 548-4014
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": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1205907813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 NW LARCH AVE",
"city": "REDMOND",
"state": "OR",
"postal_code": "977561322",
"telephone_number": "541-548-4014",
"fax_number": "541-548-0544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 NW LARCH AVE",
"city": "REDMOND",
"state": "OR",
"postal_code": "977561322",
"telephone_number": "541-548-4014",
"fax_number": "541-548-0544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THILLE",
"first_name": "MICHAEL",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-13",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111NX0800X",
"taxonomy_group": "",
"desc": "Chiropractor, Orthopedic",
"state": "OR",
"license": "27-2309",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OMAP",
"identifier": "122507",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "058771001",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Redmond, OR
- The Redmond Family Medicine Center
- The Women's Center of Central Oregon
- The Women's Center of Central Oregon
- Therapeutic Associates, Inc (TAI - Central Oregon Redmond)
- Hayley Therrien, DPT
- Abigail Linn Thompson, LMT
- Adreanna Thompson
- Cassidy Thompson, PHARM D
- Clara J. Thompson, CNM
- Dustie Marie Thompson
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.