Individual provider Active NPI

Tammara Defilippis, DC

  • Chiropractor
  • Corvallis, OR
National Provider Identifier
1356118079
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6322 Issued in OR
Practice address
408 NW 7TH St
Corvallis, OR 97330-6308
Phone
(541) 757-9933
Fax
(541) 757-7713
NPI assigned
Dec 4, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 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 6322 OR Primary

Addresses

Primary practice location

408 NW 7TH St
Corvallis, OR 97330-6308

Mailing address

408 NW 7TH St
Corvallis, OR 97330-6308
Phone (541) 757-9933

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240108005600 OR Practitioner - Chiropractic 4789035379 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heresco Chiropractic and Associates, PCGroup PAC ID 9436049293, 4 clinicians

Practice addresses (Care Compare)

408 NW 7TH St
Corvallis, OR 97330-6308
Phone (541) 757-9933

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6322ORMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Heresco Chiropractic and Associates PC Chiropractor CurrentSince Dec 11, 2023 Accepting new patients
Richard Cohen Professional Chiropractic Corporation Chiropractor Past Accepting new patients

Locations

408 NW 7th St
Corvallis, OR 97330
Phone (541) 757-9933

Organizations & group practices 2

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": "1701648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1356118079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 NW 7TH ST",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973306308",
            "telephone_number": "541-757-9933",
            "fax_number": "541-757-7713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 NW 7TH ST",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973306308",
            "telephone_number": "541-757-9933",
            "fax_number": "541-757-7713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFILIPPIS",
        "first_name": "TAMMARA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-04",
        "last_updated": "2023-12-04",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "6322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.