Active NPI
Nicholas Joseph Mabry, DC
- Chiropractor
- Aloha, OR
National Provider Identifier
1306403787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5951
- Practice address
- 17575 SW Tualatin Valley Hwy
Aloha, OR 97003-4444 - Phone
- (503) 642-2845
- NPI assigned
- May 21, 2019
- 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 | 5951 | OR | Primary |
Addresses
Primary practice location
17575 SW Tualatin Valley Hwy
Aloha, OR 97003-4444
Mailing address
14215 NW Linmere LN
Portland, OR 97229-3662
Phone (503) 629-8125
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5951 | OR | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558396800000",
"number": "1306403787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14215 NW LINMERE LN",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972293662",
"telephone_number": "503-629-8125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17575 SW TUALATIN VALLEY HWY",
"city": "ALOHA",
"state": "OR",
"postal_code": "970034444",
"telephone_number": "503-642-2845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MABRY",
"first_name": "NICHOLAS",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-21",
"last_updated": "2019-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "5951",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aloha, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.