Active NPI
Timothy Dean Driscoll, D.C.
- Chiropractor
- Milwaukie, OR
National Provider Identifier
1346351152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 27 3144
- Practice address
- 2100 SE Lake Rd Ste 2E
Milwaukie, OR 97222-7759 - Phone
- (503) 750-0940
- NPI assigned
- Aug 31, 2006
- Last updated
- Aug 10, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 | 27 3144 | OR | Primary |
Addresses
Primary practice location
2100 SE Lake Rd Ste 2E
Milwaukie, OR 97222-7759
Mailing address
2100 SE Lake Rd Ste 2E
Milwaukie, OR 97222-7759
Phone (503) 750-0940
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27 3144 | OR | MD | Chiropractor |
| 3144 | OR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lester Tengsico LLC | Past | Accepting new patients |
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": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281398400000",
"number": "1346351152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 SE LAKE RD STE 2E",
"city": "MILWAUKIE",
"state": "OR",
"postal_code": "972227759",
"telephone_number": "503-750-0940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 SE LAKE RD STE 2E",
"city": "MILWAUKIE",
"state": "OR",
"postal_code": "972227759",
"telephone_number": "503-750-0940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRISCOLL",
"first_name": "TIMOTHY",
"middle_name": "DEAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2010-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "27 3144",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milwaukie, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.