Individual provider Active NPI

Amanda Ma, DC

  • Chiropractor
  • Happy Valley, OR
National Provider Identifier
1285401059
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6354 Issued in OR
Practice address
10822 SE 82ND Ave Ste B
Happy Valley, OR 97086-7658
Phone
(503) 308-8484
NPI assigned
Dec 11, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6354 OR Primary

Addresses

Primary practice location

10822 SE 82ND Ave Ste B
Happy Valley, OR 97086-7658

Mailing address

10822 SE 82ND Ave Ste B
Happy Valley, OR 97086-7658
Phone (503) 308-8484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6354ORMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
DNB Holdings, LLC Chiropractor CurrentSince Dec 17, 2023 Accepting new patients

Locations

10822 SE 82nd Ave
Ste B
Happy Valley, OR 97086
Phone (503) 308-8484

Organizations & group practices 1

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": "1702252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1285401059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10822 SE 82ND AVE STE B",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970867658",
            "telephone_number": "503-308-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10822 SE 82ND AVE STE B",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970867658",
            "telephone_number": "503-308-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MA",
        "first_name": "AMANDA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-11",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "6354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Happy Valley, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.