Benjamin Lee Heath, DC

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

3626 Issued in OR

Practice address

11679 NE Glisan St
Portland, OR 97220-2264

Phone

(503) 258-9592

Fax

(503) 258-9593

NPI assigned

Jan 3, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

• Valleyview Injury & Physical Medicine, PC

  • Public Health & General Preventive Medicine Physician
  • Gresham, OR
  • NPI 1174997423
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467509679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11679 NE GLISAN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972202264",
            "telephone_number": "503-258-9592",
            "fax_number": "503-258-9593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11679 NE GLISAN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972202264",
            "telephone_number": "503-258-9592",
            "fax_number": "503-258-9593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEATH",
        "first_name": "BENJAMIN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "OR",
            "license": "3626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Heart, M.A., LPC
• Heartful Path Therapy
• Hearth and Shield Counseling LLC
• Heartspace Therapy LLC
• Wilder Heartwood, CADC-R
• Dianne G Heath, AUD
• Megan Heath
• Steve Heath
• Tyria Heath
• Vanessa Ione Heath

• Rehabilitation Chiropractor in Portland, OR
• Providers in Portland, OR by specialty
• Rehabilitation Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.