Individual provider Active NPI

Daniel Kemper, DC

  • Chiropractor
  • Portland, OR
National Provider Identifier
1265025571
Registry record updated Jun 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6133 Issued in OR
Practice address
833 SE Main St Ste 412
Portland, OR 97214-3433
Phone
(971) 345-5286
NPI assigned
Feb 17, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6133 OR Primary

Addresses

Primary practice location

833 SE Main St Ste 412
Portland, OR 97214-3433

Mailing address

PO Box 14883
Portland, OR 97293-0883
Phone (971) 345-5286

Other practice location 1

357 Warner Milne Rd
Oregon City, OR 97045-4045
Phone (503) 655-6780

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210907001280 OR Practitioner - Chiropractic 8729484373 Practice locations: Portland, OR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6133ORMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Active Oregon Chiropractic Chiropractor PastSince Aug 10, 2021 Accepting new patients

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": "1613520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656288000000",
    "number": "1265025571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14883",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972930883",
            "telephone_number": "971-345-5286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 SE MAIN ST STE 412",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972143433",
            "telephone_number": "971-345-5286"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "357 Warner Milne Rd",
            "address_purpose": "LOCATION",
            "city": "Oregon City",
            "state": "OR",
            "postal_code": "970454045",
            "country_code": "US",
            "telephone_number": "503-655-6780",
            "fax_number": "503-655-6206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEMPER",
        "first_name": "DANIEL",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-17",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "6133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.