Active NPI
Jonathan Rhue, D.C.
- Chiropractor
- Estacada, OR
National Provider Identifier
1447497789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4059
- Practice address
- 437 NE Main St
Estacada, OR 97023-8528 - Phone
- (503) 630-4037
- Fax
- (503) 630-5636
- NPI assigned
- Jan 8, 2009
- Last updated
- Apr 16, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4059 | OR | Primary |
| Chiropractor | 111N00000X | F1-0000731 | DE |
Addresses
Primary practice location
437 NE Main St
Estacada, OR 97023-8528
Mailing address
PO Box 909
Boring, OR 97009-0909
Phone (503) 668-5822
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R181066 | Other | OR | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Western States College of Chiropractic, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
17500 Strauss Ave
Sandy, OR 97055-8060
Phone (503) 668-5822
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F1-0000731 | DE | MD | Chiropractor |
| 4059 | OR | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oregon Trail Integrative Care, LLC | Current | Accepting new patients | |
| Oregon Trail Chiropractic LLC | Chiropractor | Current | Accepting new patients |
Locations
437 NE Main St
Estacada, OR 97023
Phone (503) 630-4037
17500 Strauss Ave
Sandy, OR 97055
Phone (503) 630-4037
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Estacada, OR
- NPI 1487942215
-
- Integrative Medicine Physician
- Sandy, OR
- NPI 1083300628
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681603200000",
"number": "1447497789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 909",
"city": "BORING",
"state": "OR",
"postal_code": "970090909",
"telephone_number": "503-668-5822",
"fax_number": "503-668-3662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "437 NE MAIN ST",
"city": "ESTACADA",
"state": "OR",
"postal_code": "970238528",
"telephone_number": "503-630-4037",
"fax_number": "503-630-5636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHUE",
"first_name": "JONATHAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-01-08",
"last_updated": "2023-04-16",
"certification_date": "2023-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "4059",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "DE",
"license": "F1-0000731",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "R181066",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Estacada, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2023; 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.