Individual provider Active NPI

Dustin Matthew Hundley, M.S., D.C.

  • Chiropractor
  • Forest Grove, OR
National Provider Identifier
1265812648
Registry record updated Jan 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5649 Issued in OR
Practice address
1905 Mountain View LN Ste 400
Forest Grove, OR 97116-2264
Phone
(503) 357-2187
NPI assigned
Jun 1, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5649 OR Primary

Addresses

Primary practice location

1905 Mountain View LN Ste 400
Forest Grove, OR 97116-2264

Mailing address

8501 E Mill Plain Blvd
Vancouver, WA 98664-2010
Phone (360) 718-2346

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190315001974 WA Practitioner - Chiropractic 0244543122 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Body in Balance Chiropractic and Wellness CenterGroup PAC ID 9537469085, 4 clinicians

Practice addresses (Care Compare)

5101 NE 82ND Ave
Suite 100
Vancouver, WA 98662-6343
Phone (360) 718-2346

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Body in Balance Chiropractic and Wellness Center Chiropractor CurrentSince Jan 2, 2019 Accepting new patients
Robert Olsen MD Washington PC PastSince Sep 12, 2025 Accepting new patients

Locations

5101 NE 82nd Ave
Ste 100
Vancouver, WA 98662
Phone (360) 718-2346

8501 E Mill Plain Blvd
Vancouver, WA 98664
Phone (360) 718-2346

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546819200000",
    "number": "1265812648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8501 E MILL PLAIN BLVD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986642010",
            "telephone_number": "360-718-2346",
            "fax_number": "360-718-2347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 MOUNTAIN VIEW LN STE 400",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971162264",
            "telephone_number": "503-357-2187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNDLEY",
        "first_name": "DUSTIN",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "M.S., D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-01",
        "last_updated": "2019-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Grove, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2019; 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.