Individual provider Active NPI

Patrick T Prentice, DC

  • Chiropractor
  • Bend, OR
National Provider Identifier
1275021149
Registry record updated Dec 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5988 Issued in OR
Practice address
3052 NW Merchant Way Ste 100
Bend, OR 97703-5466
Phone
(541) 797-6530
Fax
(541) 318-0964
NPI assigned
Apr 26, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5988 OR Primary

Addresses

Primary practice location

3052 NW Merchant Way Ste 100
Bend, OR 97703-5466

Mailing address

3052 NW Merchant Way Ste 100
Bend, OR 97703-5466
Phone (541) 797-6530

Other practice location 1

27 NW Lake Pl Ste 101
Bend, OR 97703-2901
Phone (541) 797-6530

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250318001464 OR Practitioner - Chiropractic 5395267538 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physiofitness Solutions, LLC CurrentSince Jul 15, 2022 Accepting new patients
Prentice Chiropractic LLC Chiropractor CurrentSince Jan 4, 2025 Accepting new patients
Finnigan Chiropractic Center PLLC Chiropractor Past Accepting new patients
Hearing & Communication Partners, Inc. PastSince Apr 1, 2021 Accepting new patients

Locations

1334 NE 2nd St
Bend, OR 97701
Phone (541) 797-5800

3052 NW Merchant Way
Ste 100
Bend, OR 97703
Phone (541) 797-5800

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13724/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1524700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639612800000",
    "number": "1275021149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3052 NW MERCHANT WAY STE 100",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977035466",
            "telephone_number": "541-797-6530",
            "fax_number": "541-318-0964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3052 NW MERCHANT WAY STE 100",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977035466",
            "telephone_number": "541-797-6530",
            "fax_number": "541-318-0964"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27 NW Lake Pl Ste 101",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977032901",
            "country_code": "US",
            "telephone_number": "541-797-6530",
            "fax_number": "541-318-0964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRENTICE",
        "first_name": "PATRICK",
        "middle_name": "T",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-26",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5988",
            "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 Dec 16, 2021; 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.