Active NPI
Stephen G. Ray, DC
- Chiropractor
- Beaverton, OR
National Provider Identifier
1376548644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 27 1452
- Practice address
- 8118 SW Hall Blvd
Beaverton, OR 97008-6446 - Phone
- (503) 469-9824
- Fax
- (503) 469-9324
- NPI assigned
- Jun 14, 2005
- 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 1452 | OR | Primary |
Addresses
Primary practice location
8118 SW Hall Blvd
Beaverton, OR 97008-6446
Mailing address
8118 SW Hall Blvd
Beaverton, OR 97008-6446
Phone (503) 469-9824
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 112961 | Other | OR | KAISER PERMANENTE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1995
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
2323 NW Flanders St
Portland, OR 97210-3764
Phone (503) 223-3826
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27 1452 | OR | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shephard Clinic of the Chiropractic Arts | Current | Accepting new patients |
Locations
2323 NW Flanders St
Portland, OR 97210
Phone (503) 223-3826
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 and National Provider Directory roles.
-
- Health Maintenance Organization
- Portland, OR
- NPI 1194883959
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204156800000",
"number": "1376548644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8118 SW HALL BLVD",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970086446",
"telephone_number": "503-469-9824",
"fax_number": "503-469-9324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8118 SW HALL BLVD",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970086446",
"telephone_number": "503-469-9824",
"fax_number": "503-469-9324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAY",
"first_name": "STEPHEN",
"middle_name": "G.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-14",
"last_updated": "2008-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "27 1452",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER PERMANENTE",
"identifier": "112961",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; 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.