Individual provider Active NPI

Holly A Beutz, D.C.

  • Chiropractor
  • Oregon City, OR
National Provider Identifier
1285701599
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3664 Issued in OR
Practice address
1170 Molalla Ave
Oregon City, OR 97045-3770
Phone
(503) 656-9877
Fax
(503) 657-1225
NPI assigned
Nov 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3664 OR Primary

Addresses

Primary practice location

1170 Molalla Ave
Oregon City, OR 97045-3770

Mailing address

1170 Molalla Ave
Oregon City, OR 97045-3770
Phone (503) 656-9877

Other identifiers 1

IdentifierTypeStateIssuer
137191OtherORGROUP PIN

Other names 1

  • Holly A Dohrn Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070328000299 OR Practitioner - Chiropractic 9537263744 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neil McMahon RN DC PCGroup PAC ID 4284739772, 2 clinicians

Practice addresses (Care Compare)

1170 Molalla Ave
Oregon City, OR 97045-3770
Phone (503) 656-9877

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Neil McMahon,R.N.,D.C.,P.C. Chiropractor CurrentSince Feb 6, 2007 Accepting new patients

Locations

1170 Molalla Ave
Oregon City, OR 97045
Phone (503) 656-9877

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": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194912000000",
    "number": "1285701599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 MOLALLA AVE",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970453770",
            "telephone_number": "503-656-9877",
            "fax_number": "503-657-1225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 MOLALLA AVE",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970453770",
            "telephone_number": "503-656-9877",
            "fax_number": "503-657-1225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEUTZ",
        "first_name": "HOLLY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PIN",
            "identifier": "137191",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "DOHRN",
            "middle_name": "A",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oregon City, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; 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.