Active NPI
Patrick T Prentice, DC
- Chiropractor
- Bend, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5988
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physiofitness Solutions, LLC | Current | Accepting new patients | |
| Prentice Chiropractic LLC | Chiropractor | Current | Accepting new patients |
| Finnigan Chiropractic Center PLLC | Chiropractor | Past | Accepting new patients |
| Hearing & Communication Partners, Inc. | Past | 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
- 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.
-
- Chiropractor
- Bend, OR
- NPI 1447867866
-
- Physical Therapy Clinic/Center
- Bend, OR
- NPI 1033865092
-
- Chiropractor
- Lacey, WA
- NPI 1447307426
-
dba Complete Hearing and Balance
- Audiologist
- Olympia, WA
- NPI 1295199735
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
- Premier Wound Healing
- Premise Health of Oregon Medical P C (Deschutes Onsite Clinic)
- Premise Health of Oregon Medical PC (Deschutes Juvenile Detention Center Clinic)
- Prentice Chiropractic LLC
- Joshua Nolin Prentice, D.D.S.
- Mark T Press, FNP
- Pressprich Dentistry
- Robert O. Pressprich, D.M.D.
- Timothy M Preston, D.O
- Pretty Moments Lingerie, LLC
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.