Peter Michael Overvold, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1540 Issued in OR

Practice address

2106 NE 47TH Ave
Portland, OR 97213-2064

Phone

(503) 282-7581

NPI assigned

May 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Overvold Chiropractic

  • Chiropractor
  • Portland, OR
  • NPI 1215210539
  NPD (past) Authorized official
• Portland Spine Center LLC

  • Chiropractor
  • Portland, OR
  • NPI 1649682022
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285718400000",
    "number": "1366400228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11127 SE ROLLING HILLS LN",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970867040",
            "telephone_number": "503-698-7570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 NE 47TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972132064",
            "telephone_number": "503-282-7581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERVOLD",
        "first_name": "PETER",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2010-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "1540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ODS",
            "identifier": "228-6554",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS / BLUE SHIELD",
            "identifier": "5-2585",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margaret Ellen Overstreet, OD
• Petter Lewis Overton-Harris, DO
• Bahia Anise-Cross Overton, MSW
• Cecily Rose Overton
• Overvold Chiropractic
• Bryce Jett Ovist
• Elizabeth Kate Owczarzak, MPH, RD, LD, CDE
• Angela Dawn Owen, CADC 1
• Ashleigh Owen
• Blake Owen, DPT, PT

• Chiropractor in Portland, OR
• Providers in Portland, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.

Verify at the official NPI Registry.