Individual provider Active NPI

Ronald Pacheco

  • Chiropractor
  • Beaverton, OR
National Provider Identifier
1386010775
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5666 Issued in OR
Practice address
10700 SW BVTN Hillsdale Hwy Ste 113
Beaverton, OR 97005-3035
Phone
(503) 941-5465
Fax
(503) 765-1925
NPI assigned
Aug 19, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5666 OR Primary

Addresses

Primary practice location

10700 SW BVTN Hillsdale Hwy Ste 113
Beaverton, OR 97005-3035

Mailing address

8225 SW Apple Way Ste 100
Portland, OR 97225-1783

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5666ORMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Zui of Chiropractic LLC CurrentSince Aug 23, 2020 Accepting new patients

Locations

10700 SW Bvtn Hillsdale Hwy
Ste 113
Beaverton, OR 97005
Phone (503) 643-1113

10700 SW Beaverton Hillsdale Hwy
Ste 321
Beaverton, OR 97005
Phone (503) 999-0390

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.

NPI Registry JSON

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1386010775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8225 SW APPLE WAY STE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972251783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 SW BVTN HILLSDALE HWY STE 113",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970053035",
            "telephone_number": "503-941-5465",
            "fax_number": "503-765-1925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHECO",
        "first_name": "RONALD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-19",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5666",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 18, 2023; 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.