Individual provider Active NPI

Renata Retter, DC

  • Chiropractor
  • Oregon City, OR
National Provider Identifier
1225808926
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6347 Issued in OR
Practice address
357 Warner Milne Rd
Oregon City, OR 97045-4045
Phone
(805) 341-6416
NPI assigned
Jan 3, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 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 6347 OR Primary

Addresses

Primary practice location

357 Warner Milne Rd
Oregon City, OR 97045-4045

Mailing address

5021 Foothills Rd Apt C
Lake Oswego, OR 97034-4133
Phone (805) 341-6416

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240228004505 OR Practitioner - Chiropractic 5092150128 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Hosmer Chiropractic Health LLCGroup PAC ID 6507025228, 9 clinicians

Practice addresses (Care Compare)

1030 NW Marshall St
Portland, OR 97209-2988
Phone (503) 227-2279

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6347ORMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Hosmer Chiropractic Health LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

1030 NW Marshall St
Portland, OR 97209
Phone (503) 227-2279

7689 SW Capitol Hwy
Portland, OR 97219
Phone (503) 445-4454

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1704240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1225808926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5021 FOOTHILLS RD APT C",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970344133",
            "telephone_number": "805-341-6416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 WARNER MILNE RD",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970454045",
            "telephone_number": "805-341-6416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RETTER",
        "first_name": "RENATA",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-03",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "6347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oregon City, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.