Individual provider Active NPI

Neil Robert Mennell, D.C.

  • Chiropractor
  • Hillsboro, OR
National Provider Identifier
1265566608
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3700 Issued in OR
Practice address
3000 NW Stucki PL
Suite 180
Hillsboro, OR 97124-7107
Phone
(503) 726-2225
NPI assigned
Mar 16, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3700 OR Primary

Addresses

Primary practice location

3000 NW Stucki PL
Suite 180
Hillsboro, OR 97124-7107

Mailing address

3000 NW Stucki PL
Suite 180
Hillsboro, OR 97124-7107

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250312002341 OR Practitioner - Chiropractic 4284155706 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2003
Medicare assignment
May accept Medicare assignment
Group practices
Locke Chiropractic LLCGroup PAC ID 6901110451, 2 clinicians

Practice addresses (Care Compare)

19767 SW 72ND Ave
Suite 103
Tualatin, OR 97062-8354
Phone (503) 620-6480

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Locke Chiropractic LLC CurrentSince Mar 5, 2025 Accepting new patients
Grant T Dawson DC PC Chiropractor CurrentSince Mar 5, 2025 Accepting new patients
Back-2-Back Chiropractic Past Accepting new patients

Locations

19767 SW 72nd Ave
Ste 103
Tualatin, OR 97062
Phone (503) 620-6480

Organizations & group practices 3

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": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265566608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 NW STUCKI PL",
            "address_2": "SUITE 180",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971247107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 NW STUCKI PL",
            "address_2": "SUITE 180",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971247107",
            "telephone_number": "503-726-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENNELL",
        "first_name": "NEIL",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.