Individual provider Active NPI

Daniel Drozdowski

  • Chiropractor
  • Portland, OR
National Provider Identifier
1376798124
Registry record updated Mar 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3908 Issued in OR
Practice address
5336 SE Bush St
Portland, OR 97206-5394
Phone
(636) 236-4567
NPI assigned
Nov 20, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3908 OR Primary

Addresses

Primary practice location

5336 SE Bush St
Portland, OR 97206-5394

Mailing address

2923 SE Francis St Apt 2
Portland, OR 97202-3569

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151019001369 OH Practitioner - Chiropractic 0345497087 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Health and Wellness Center of Ohio LLCGroup PAC ID 3274771217, 4 clinicians

Practice addresses (Care Compare)

8930 Brecksville Rd
Brecksville, OH 44141-2318
Phone (440) 740-0696

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Health and Wellness Center of Ohio LLC CurrentSince Jun 10, 2015 Accepting new patients
Brecksville Chiropractic and Rehabilitation Inc Chiropractor Past Accepting new patients

Locations

8930 Brecksville Rd
Brecksville, OH 44141
Phone (234) 217-0229

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": "1227139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238457600000",
    "number": "1376798124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2923 SE FRANCIS ST APT 2",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972023569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5336 SE BUSH ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972065394",
            "telephone_number": "636-236-4567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DROZDOWSKI",
        "first_name": "DANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-20",
        "last_updated": "2009-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2009; 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.