Organization Active NPI

Adam J Hamilton DC PC

  • Chiropractor
  • Redmond, OR
National Provider Identifier
1265911077
Registry record updated Aug 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5051 Issued in OR
Legal business name
ADAM J HAMILTON DC PC
Practice address
2757 NW 7TH St Ste B
Redmond, OR 97756-1861
Phone
(541) 316-5915
NPI assigned
Aug 13, 2018
Last updated
Aug 13, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2018

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

Authorized official

Name
Adam J Hamilton, DCNPI 1477854958
Title
Owner
Phone
(541) 316-5915

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5051 OR Primary

Addresses

Primary practice location

2757 NW 7TH St Ste B
Redmond, OR 97756-1861

Mailing address

2757 NW 7TH St Ste B
Redmond, OR 97756-1861
Phone (541) 316-5915

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200110002147 OR Part B Supplier - Clinic/Group Practice 2264789734 Receives reassigned benefits from 1 practitioner
Practice locations: Redmond, OR

National Provider Directory

National Provider Directory

Locations

150 Scalehouse Loop
Bend, OR 97702
Phone (541) 316-5915

2757 NW 7th St
Ste B
Redmond, OR 97756
Phone (541) 316-5915

611 NE Jackpine Ct
Bldg C
Redmond, OR 97756
Phone (541) 316-5915

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534118400000",
    "number": "1265911077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2757 NW 7TH ST STE B",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977561861",
            "telephone_number": "541-316-5915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2757 NW 7TH ST STE B",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977561861",
            "telephone_number": "541-316-5915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAM J HAMILTON DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-13",
        "last_updated": "2018-08-13",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-316-5915",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2018; 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.