Individual provider Active NPI

Jason M. Kremer, D.C., CSCS

  • Chiropractor
  • Bend, OR
National Provider Identifier
1245321082
Registry record updated Aug 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
713681 Issued in OR
Practice address
1693 SW Chandler Ave Ste 280
Bend, OR 97702-3231
Phone
(541) 318-1000
Fax
(541) 318-7050
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 713681 OR Primary

Addresses

Primary practice location

1693 SW Chandler Ave Ste 280
Bend, OR 97702-3231

Mailing address

1693 SW Chandler Ave Ste 280
Bend, OR 97702-3231
Phone (541) 318-1000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080908000285 OR Practitioner - Chiropractic 3173699683 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellness Doctor IncGroup PAC ID 0446404404, 2 clinicians

Practice addresses (Care Compare)

61555 Parrell Rd
Bend, OR 97702-2701
Phone (541) 318-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
713681ORMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Doctor, Inc. CurrentSince Jan 1, 2006 Accepting new patients

Locations

1345 NW Wall St
Ste 202
Bend, OR 97703
Phone (541) 204-2021

61555 Parrell Rd
Bend, OR 97702
Phone (541) 318-1000

1693 SW Chandler Ave
Ste 280
Bend, OR 97702
Phone (541) 318-1000

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596240000000",
    "number": "1245321082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1693 SW CHANDLER AVE STE 280",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023231",
            "telephone_number": "541-318-1000",
            "fax_number": "541-318-7050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1693 SW CHANDLER AVE STE 280",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023231",
            "telephone_number": "541-318-1000",
            "fax_number": "541-318-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREMER",
        "first_name": "JASON",
        "middle_name": "M.",
        "credential": "D.C., CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-08-01",
        "certification_date": "2020-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "713681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Aug 1, 2020; 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.