Individual provider Active NPI

Robert Andrew Jeffrey, DC

  • Chiropractor
  • Bend, OR
National Provider Identifier
1497812747
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3675 Issued in OR
Practice address
1470 SW Knoll Ave
Suite 103 Advanced Disc and Spine Health LLC
Bend, OR 97702
Phone
(541) 318-1632
Fax
(541) 312-3198
NPI assigned
Jan 3, 2007
Last updated
Nov 9, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3675 OR Primary

Addresses

Primary practice location

1470 SW Knoll Ave
Suite 103 Advanced Disc and Spine Health LLC
Bend, OR 97702

Mailing address

1470 SW Knoll Ave
Suite 103 Advanced Disc and Spine Health LLC
Bend, OR 97702
Phone (541) 318-1632

Other practice location 1

1020 SW Indian Ave Ste 100
Redmond, OR 97756-3037
Phone (541) 281-0155

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20070606000645 OR Practitioner - ChiropracticPractitioner - Physical Medicine and Rehabilitation 8921085515 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Physical Medicine and Rehabilitation
Education
Palmer College Chiropractic - Davenport, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

814 Commerce Dr
Suite 300
Oak Brook, IL 60523-1965

814 Commerce Dr
Suite 300
Oakbrook Terrace, IL 60523-8823

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chiro One Wellness Center of Tualatin LLC Chiropractor CurrentSince Feb 17, 2026 Accepting new patients
Advanced Medical Center Inc Chiropractor Past Accepting new patients
Coyle Chiropractic Corp. Chiropractor Past Accepting new patients

Locations

7025 SW Nyberg St
Tualatin, OR 97062
Phone (503) 558-4422

Organizations & group practices 4

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": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1497812747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1470 SW KNOLL AVE",
            "address_2": "SUITE 103 ADVANCED DISC AND SPINE HEALTH LLC",
            "city": "BEND",
            "state": "OR",
            "postal_code": "97702",
            "telephone_number": "541-318-1632",
            "fax_number": "541-312-3198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1470 SW KNOLL AVE",
            "address_2": "SUITE 103 ADVANCED DISC AND SPINE HEALTH LLC",
            "city": "BEND",
            "state": "OR",
            "postal_code": "97702",
            "telephone_number": "541-318-1632",
            "fax_number": "541-312-3198"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1020 SW Indian Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Redmond",
            "state": "OR",
            "postal_code": "977563037",
            "country_code": "US",
            "telephone_number": "541-281-0155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEFFREY",
        "first_name": "ROBERT",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.