Active NPI
Megan A Banker, D.C.
- Chiropractor
- Portland, OR
National Provider Identifier
1336504505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5698
- Practice address
- 2232 NW Pettygrove St Ste 110
Portland, OR 97210-2608 - Phone
- (530) 224-4804
- Fax
- (530) 224-7391
- NPI assigned
- Dec 15, 2015
- Last updated
- Aug 3, 2021
- Sex
- Female
- 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 | 5698 | OR | Primary |
Addresses
Primary practice location
2232 NW Pettygrove St Ste 110
Portland, OR 97210-2608
Mailing address
2232 NW Pettygrove St
Suite 110
Portland, OR 97210
Phone (530) 224-4804
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | megan@vervelifepdx.com |
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)
- Enrolled
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, 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": "1450137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627948800000",
"number": "1336504505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2232 NW PETTYGROVE ST",
"address_2": "SUITE 110",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97210",
"telephone_number": "530-224-4804",
"fax_number": "503-224-7391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2232 NW PETTYGROVE ST STE 110",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972102608",
"telephone_number": "530-224-4804",
"fax_number": "530-224-7391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANKER",
"first_name": "MEGAN",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-15",
"last_updated": "2021-08-03",
"certification_date": "2021-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "5698",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "megan@vervelifepdx.com",
"affiliation": "N",
"address_1": "2232 NW Pettygrove St Ste 110",
"city": "Portland",
"state": "OR",
"country_code": "US",
"postal_code": "972102608",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.