Individual provider Active NPI

Jonathan Rhue, D.C.

  • Chiropractor
  • Estacada, OR
National Provider Identifier
1447497789
Registry record updated Apr 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4059 Issued in OR
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
R181066OtherORMEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150629000902 OR Practitioner - Chiropractic 8325350770 Reassigns benefits to 1 organization

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
Oregon Trail Chiropractic LLCGroup PAC ID 9335451780, 3 clinicians

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

LicenseStateTypeSpecialty
F1-0000731DEMDChiropractor
4059ORMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Oregon Trail Integrative Care, LLC CurrentSince Apr 23, 2023 Accepting new patients
Oregon Trail Chiropractic LLC Chiropractor CurrentSince Jan 15, 2015 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.

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.

Verify at the official NPI Registry.