Michael Thomas Wise, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3915 Issued in OR

Practice address

707 SW 9TH St
Redmond, OR 97756-2726

Phone

(541) 728-0085

Fax

(541) 504-5353

NPI assigned

Aug 22, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 1998

Medicare assignment

May accept Medicare assignment

Group practices

Bodywise Chiropractic PCGroup PAC ID 4880729813, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12934/brand/1/csg/1/fhir/r4

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.

• Bodywise Chiropractic PC

  • Chiropractor
  • Redmond, OR
  • NPI 1942539069
  Medicare reassignment Care Compare group
• Deschutes Laser Therapy. LLC

  • Wound Care Registered Nurse
  • Redmond, OR
  • NPI 1639864333
  NPD
• Compass Proactive Health Care LLC

  • Acupuncturist
  • Eugene, OR
  • NPI 1790490035
  NPD (past)
• Healing Motion Physical Therapy, Inc.

  • Physical Therapist
  • Philomath, OR
  • NPI 1316919327
  NPD (past)
• Thomas H. Walter DPM, Inc.

  • Podiatrist
  • Pawcatuck, CT
  • NPI 1023208360
  NPD (past)

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487894400000",
    "number": "1215929591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 SW 9TH ST",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "97756",
            "telephone_number": "541-548-5089",
            "fax_number": "541-504-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 SW 9TH ST",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977562726",
            "telephone_number": "541-728-0085",
            "fax_number": "541-504-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "MICHAEL",
        "middle_name": "THOMAS",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2017-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Willitts, RN
• Taylir Mae Wills, RBAI
• Hannah Wilson, FNP
• Rebecca Winters, MS, LPC
• Carolyn Wise
• Claudia Wiseman, NMNP
• Mallory Witherspoon, M.S.
• Cari Lynn Wood, ATC
• Jamie Worthington, CPC
• Fanny Wu

• Chiropractor in Redmond, OR
• Providers in Redmond, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2017; 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.