Jordan Doi, MSC, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5104 Issued in OR

Practice address

629 NW York Dr
Suite 104
Bend, OR 97701

Phone

(541) 388-2429

Fax

(541) 388-2439

NPI assigned

Jan 3, 2013

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 1

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Chiropractic

Education

Western States College of Chiropractic, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Erica M. Staehle, LLCGroup PAC ID 5698145415, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Erica M. Staehle, LLC

  • Sports Physician Chiropractor
  • Bend, OR
  • NPI 1548664279
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1357171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357171200000",
    "number": "1366789802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 NW YORK DR",
            "address_2": "SUITE 104",
            "city": "BEND",
            "state": "OR",
            "postal_code": "97701",
            "telephone_number": "541-388-2429",
            "fax_number": "541-388-2439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 NW YORK DR",
            "address_2": "SUITE 104",
            "city": "BEND",
            "state": "OR",
            "postal_code": "97701",
            "telephone_number": "541-388-2429",
            "fax_number": "541-388-2439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOI",
        "first_name": "JORDAN",
        "credential": "MSC, DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-03",
        "last_updated": "2013-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON STATE LICENSE NUMBER",
            "identifier": "5104",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dayna Dobson, PA-C
• Doctors Park Surgery Center, LLC
• Michael J Doden, PT
• Jennifer C Dodge
• Riley Dodge
• Jillian Doke-Magruder, NP
• Robert William Dolan, PA-C
• Colin Alfred Dole, DMD
• Anna Marie Dolezal, M.D.
• Thomas Dolezal

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; 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.