Individual provider Active NPI

Halsy James Carter, D.C.

  • Sports Physician Chiropractor
  • Tigard, OR
National Provider Identifier
1376883728
Registry record updated Oct 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
5126 Issued in OR
Practice address
12700Swnorth Dakota St 180
Tigard, OR 97223-0802
Phone
(503) 716-8281
Fax
(503) 716-8783
NPI assigned
Feb 21, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 5126 OR Primary

Addresses

Primary practice location

12700Swnorth Dakota St 180
Tigard, OR 97223-0802

Mailing address

12700Swnorth Dakota St 180
Tigard, OR 97223-0802
Phone (503) 716-8281

Other identifiers 1

IdentifierTypeStateIssuer
5126OtherORCHIROPRACTIC LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150304002302 OR Practitioner - Chiropractic 4284950510 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Straight Up ChiropracticGroup PAC ID 5092025437, 2 clinicians

Practice addresses (Care Compare)

12700 SW N Dakota St
Suite 180
Tigard, OR 97223-0802
Phone (503) 716-8281

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gregory Oltmann DC LLC CurrentSince Oct 22, 2023 Accepting new patients
Straight Up Chiropractic CurrentSince Oct 1, 2015 Accepting new patients

Locations

12700 SW North Dakota St
Ste 180
Tigard, OR 97223
Phone (503) 716-8281

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": "1361404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444694400000",
    "number": "1376883728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12700SWNORTH DAKOTA ST 180",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972230802",
            "telephone_number": "503-716-8281",
            "fax_number": "503-716-8783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12700SWNORTH DAKOTA ST 180",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972230802",
            "telephone_number": "503-716-8281",
            "fax_number": "503-716-8783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "HALSY",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-21",
        "last_updated": "2015-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "OR",
            "license": "5126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LICENSE",
            "identifier": "5126",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; 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.