Active NPI
Bruce Baxter Pace, DC
- Chiropractor
- Forest Grove, OR
National Provider Identifier
1578595732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 271373
- Practice address
- 3201 19TH Ave Ste a
Forest Grove, OR 97116-1911 - Phone
- (503) 357-4441
- NPI assigned
- Jul 7, 2006
- Last updated
- Nov 8, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 271373 | OR | Primary |
Addresses
Primary practice location
3201 19TH Ave Ste a
Forest Grove, OR 97116-1911
Mailing address
3201 19TH Ave Ste a
Forest Grove, OR 97116-1911
Phone (503) 357-4441
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 271373 | OR | MD | Chiropractor |
| 1373 | OR | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forest Grove Chiropractic LLC | Chiropractor | Past | Accepting new patients |
| Bruce Baxter Pace | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Chiropractor
- Forest Grove, OR
- NPI 1073982286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320710400000",
"number": "1578595732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3201 19TH AVE STE A",
"city": "FOREST GROVE",
"state": "OR",
"postal_code": "971161911",
"telephone_number": "503-357-4441",
"fax_number": "503-359-7941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 19TH AVE STE A",
"city": "FOREST GROVE",
"state": "OR",
"postal_code": "971161911",
"telephone_number": "503-357-4441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACE",
"first_name": "BRUCE",
"middle_name": "BAXTER",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2011-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "271373",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Forest Grove, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.