Individual provider Active NPI

Erik Andrew Leavitt, DC

  • Chiropractor
  • Hillsboro, OR
National Provider Identifier
1538623962
Registry record updated Jan 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5936 Issued in OR
Practice address
1895 NE 106TH Ave
Hillsboro, OR 97006-6485
Phone
(503) 547-8400
NPI assigned
Jan 30, 2019
Last updated
Jan 30, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5936 OR Primary

Addresses

Primary practice location

1895 NE 106TH Ave
Hillsboro, OR 97006-6485

Mailing address

1895 NE 106TH Ave
Hillsboro, OR 97006-6485
Phone (503) 547-8400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200210000247 WA Practitioner - Chiropractic 9133452758 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
E Group Wa LLCGroup PAC ID 2961829213, 2 clinicians

Practice addresses (Care Compare)

11015 NE 4TH Plain Blvd
Suite B
Vancouver, WA 98662-6314
Phone (360) 892-0451

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5936ORMDMechanotherapist

Practice roles

OrganizationSpecialtyStatusNew patients
Larry D Jensen DPM PC CurrentSince Jun 3, 2019 Accepting new patients
E Group Wa LLC Chiropractor CurrentSince Feb 1, 2020 Accepting new patients
Quale LLC Chiropractor PastSince Feb 17, 2020 Accepting new patients

Locations

130 SW 2nd Ave
Ste 101
Canby, OR 97013
Phone (503) 263-2347

11015 NE Fourth Plain Blvd
Ste B
Vancouver, WA 98662
Phone (360) 892-0451

Organizations & group practices 3

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": "1548806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548806400000",
    "number": "1538623962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1895 NE 106TH AVE",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "970066485",
            "telephone_number": "503-547-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1895 NE 106TH AVE",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "970066485",
            "telephone_number": "503-547-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAVITT",
        "first_name": "ERIK",
        "middle_name": "ANDREW",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-30",
        "last_updated": "2019-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; 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.