NPIMap

Organization Active NPI

Samantha Stuart, DC

  • Chiropractor
  • Portland, OR
National Provider Identifier
1467983734
Registry record updated Mar 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3420 Issued in OR
Legal business name
SAMANTHA STUART, DC
Practice address
11657 NE Glisan St
Portland, OR 97220-2264
Phone
(503) 252-3560
Fax
(503) 252-3199
NPI assigned
Mar 27, 2017
Last updated
Mar 27, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2017

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

Authorized official

Name
Dr. Samantha E Stuart, D.C.NPI 1386715548
Title
Owner
Phone
(503) 252-3560

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3420 OR Primary

Addresses

Primary practice location

11657 NE Glisan St
Portland, OR 97220-2264

Mailing address

11657 NE Glisan St
Portland, OR 97220-2264
Phone (503) 252-3560

National Provider Directory

National Provider Directory

Locations

11657 NE Glisan St
Portland, OR 97220
Phone (503) 252-3560

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490572800000",
    "number": "1467983734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11657 NE GLISAN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972202264",
            "telephone_number": "503-252-3560",
            "fax_number": "503-252-3199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11657 NE GLISAN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972202264",
            "telephone_number": "503-252-3560",
            "fax_number": "503-252-3199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMANTHA STUART, DC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-27",
        "last_updated": "2017-03-27",
        "status": "A",
        "authorized_official_last_name": "STUART",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-252-3560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3420",
            "primary": true
        }
    ],
    "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 Mar 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.