Individual provider Active NPI

Thomas F. Munoz II, D.C.

  • Chiropractor
  • Portland, OR
National Provider Identifier
1538562830
Registry record updated Sep 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5586 Issued in OR
Practice address
3605 N Lombard St
Portland, OR 97217-5903
Phone
(503) 285-4137
Fax
(503) 285-8873
NPI assigned
Sep 30, 2014
Last updated
Sep 30, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5586 OR Primary

Addresses

Primary practice location

3605 N Lombard St
Portland, OR 97217-5903

Mailing address

3605 N Lombard St
Portland, OR 97217-5903
Phone (503) 285-4137

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210217001623 WV Practitioner - Chiropractic 3779805692 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5586ORMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Chiropractic Health & Wellness PLLC Chiropractor CurrentSince Nov 13, 2020 Accepting new patients

Locations

325 Jones Ave
Oak Hill, WV 25901
Phone (304) 465-4325

Organizations & group practices 1

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": "1412035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412035200000",
    "number": "1538562830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 N LOMBARD ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972175903",
            "telephone_number": "503-285-4137",
            "fax_number": "503-285-8873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3605 N LOMBARD ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972175903",
            "telephone_number": "503-285-4137",
            "fax_number": "503-285-8873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNOZ",
        "first_name": "THOMAS",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-30",
        "last_updated": "2014-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5586",
            "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 Sep 30, 2014; 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.