Individual provider Active NPI

David Angell, DC

  • Chiropractor
  • Bend, OR
National Provider Identifier
1447707849
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6109 Issued in OR
Practice address
141 NW Greenwood Ave
Ste 101
Bend, OR 97703-2041
Phone
(541) 322-9032
Fax
(541) 388-2606
NPI assigned
Sep 2, 2016
Last updated
Dec 3, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6109 OR Primary

Addresses

Primary practice location

141 NW Greenwood Ave
Ste 101
Bend, OR 97703-2041

Mailing address

141 NW Greenwood Ave
Ste 101
Bend, OR 97703-2041
Phone (253) 888-2371

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201214000067 OR Practitioner - Chiropractic 7810284031 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

270 S Spruce St
Sisters, OR 97759-1127
Phone (253) 888-2371

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6109ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Angell Chiropractic Inc CurrentSince Nov 21, 2020 Accepting new patients
Inice Gough DC PC Chiropractor PastSince Feb 9, 2018 Accepting new patients

Locations

141 NW Greenwood Ave
Ste 101
Bend, OR 97703
Phone (541) 383-2185

270 S Spruce St
Sisters, OR 97759
Phone (253) 888-2371

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": "1472774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1447707849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 NW GREENWOOD AVE",
            "address_2": "STE 101",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977032041",
            "telephone_number": "253-888-2371",
            "fax_number": "541-388-2606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 NW GREENWOOD AVE",
            "address_2": "STE 101",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977032041",
            "telephone_number": "541-322-9032",
            "fax_number": "541-388-2606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGELL",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-02",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "6109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; 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.