Active NPI
George Rolland House III, DC
- Chiropractor
- Corvallis, OR
National Provider Identifier
1396785283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3288
- Practice address
- 999 NW Circle Blvd
Corvallis, OR 97330-1408 - Phone
- (541) 754-2225
- Fax
- (541) 752-9086
- NPI assigned
- Jun 7, 2006
- 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 | 3288 | OR | Primary |
Addresses
Primary practice location
999 NW Circle Blvd
Corvallis, OR 97330-1408
Mailing address
999 NW Circle Blvd
Corvallis, OR 97330-1408
Phone (541) 754-2225
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081028000315 | OR | Practitioner - Chiropractic | 5597823039 | Practice locations: Corvallis, OR |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Western States College of Chiropractic, 2001
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
999 NW Circle Blvd
Corvallis, OR 97330-1408
Phone (541) 754-2225
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3288 | OR | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Winckler Chiropractic LLC | Past | Accepting new patients | |
| One Heart Heals Holistic Healthcare, PC | Past | Accepting new patients |
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.
-
- Naturopath
- Corvallis, OR
- NPI 1205888302
-
- Health Service Clinic/Center
- Corvallis, OR
- NPI 1215236393
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305590400000",
"number": "1396785283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "999 NW CIRCLE BLVD",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973301408",
"telephone_number": "541-754-2225",
"fax_number": "541-752-9086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "999 NW CIRCLE BLVD",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973301408",
"telephone_number": "541-754-2225",
"fax_number": "541-752-9086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOUSE",
"first_name": "GEORGE",
"middle_name": "ROLLAND",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2011-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "3288",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corvallis, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2011; 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.