Joseph Elias Vance, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4017 Issued in OR

Practice address

4670 SW Washington Ave
Beaverton, OR 97005-0530

Phone

(503) 646-8575

Fax

(503) 526-0783

NPI assigned

Jun 21, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• John L V Platt, DC PC

  dba Woodstock Chiropractic Clinic

  • Neurology Chiropractor
  • Portland, OR
  • NPI 1326258492
  NPD (past)
• Kimberly Ann Privitera, PC

  • Occupational Health Chiropractor
  • Portland, OR
  • NPI 1184835274
  NPD (past)

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1407119605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8047 SW 56TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972193220",
            "telephone_number": "404-661-8833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4670 SW WASHINGTON AVE",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970050530",
            "telephone_number": "503-646-8575",
            "fax_number": "503-526-0783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANCE",
        "first_name": "JOSEPH",
        "middle_name": "ELIAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-21",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "OR",
            "license": "OR4017",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "4017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Diane Van Horn
• Jillian Lucille Van Staaveren, DPT
• Taryn Weslie Van Vliet
• Kyle H. Van, D.D.S.
• Thao Van, PA
• Vancouver DG LLC
• Margaret S. Vandenbark, M.D.
• Alisa Vanderzalm, MSW
• Meghan Siobhan Vandewettering, MD
• Mark James Vandusen, DMD

• Chiropractor in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; 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.