Organization Active NPI

Jeanette Cummings, DC, PC

  • Chiropractor
  • Portland, OR
National Provider Identifier
1447563010
Registry record updated Jul 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2811 Issued in OR
Legal business name
JEANETTE CUMMINGS, DC, PC
Practice address
516 SE Morrison Street
Suite 1110
Portland, OR 97214-2390
Phone
(503) 236-9609
Fax
(503) 236-2906
NPI assigned
Jul 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2018

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

Authorized official

Name
Dr. Jeanette CummingsNPI 1972611564
Title
President
Phone
(503) 236-9609

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 2811 OR Primary
Medical Specialty Clinic/Center 261QM2500X 2811 OR

Addresses

Primary practice location

516 SE Morrison Street
Suite 1110
Portland, OR 97214-2390

Mailing address

516 SE Morrison Street
Suite 1110
Portland, OR 97214-2390
Phone (503) 236-9609

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101022000496 OR Part B Supplier - Clinic/Group Practice 8729271713 Receives reassigned benefits from 1 practitioner
Practice locations: Portland, OR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1279843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532563200000",
    "number": "1447563010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 SE MORRISON STREET",
            "address_2": "SUITE 1110",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142390",
            "telephone_number": "503-236-9609",
            "fax_number": "503-236-2906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 SE MORRISON STREET",
            "address_2": "SUITE 1110",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142390",
            "telephone_number": "503-236-9609",
            "fax_number": "503-236-2906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANETTE CUMMINGS, DC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-23",
        "last_updated": "2018-07-26",
        "status": "A",
        "authorized_official_last_name": "CUMMINGS",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-236-9609",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "2811",
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "OR",
            "license": "2811",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.