Individual provider Active NPI

Jeremy Elias Sontag, D.C.

  • Chiropractor
  • Eugene, OR
National Provider Identifier
1225376932
Registry record updated Jun 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5872 Issued in OR
Practice address
305 W 7TH Ave
Eugene, OR 97401
Phone
(541) 550-7052
NPI assigned
Jan 30, 2013
Reactivated
Jun 5, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5872 OR Primary

Addresses

Primary practice location

305 W 7TH Ave
Eugene, OR 97401

Mailing address

305 W 7TH Ave
Eugene, OR 97401-2510
Phone (541) 550-7052

Other identifiers 1

IdentifierTypeStateIssuer
R197692MedicaidOR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171110000984 OR Practitioner - Chiropractic 3375788243 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1430 Willamette St P O Box
Suite 287
Eugene, OR 97401-4049

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Joshua B. Anderson, D.C.P.C. Chiropractor CurrentSince Aug 26, 2019 Accepting new patients
Apex Chiropractic & Sci Wellness Center Chiropractor PastSince Feb 5, 2013 Accepting new patients

Locations

305 W 7th Ave
Eugene, OR 97401
Phone (541) 343-3477

Organizations & group practices 2

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": "1359504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528243200000",
    "number": "1225376932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 W 7TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012510",
            "telephone_number": "541-550-7052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W 7TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "97401",
            "telephone_number": "541-550-7052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONTAG",
        "first_name": "JEREMY",
        "middle_name": "ELIAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-30",
        "last_updated": "2018-06-06",
        "deactivation_date": "2018-03-22",
        "reactivation_date": "2018-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "R197692",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; 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.