Trevor Martin Stauber, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4052 Issued in OR

Practice address

850 SW Booth Bend Rd
McMinnville, OR 97128-9320

Phone

(503) 472-2111

NPI assigned

Oct 1, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northwest Spine and Sport LLCGroup PAC ID 4880817105, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Northwest Spine and Sport LLC

  • Sports Physician Chiropractor
  • McMinnville, OR
  • NPI 1336577311
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1285891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1588973002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 SW BOOTH BEND RD",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971289320",
            "telephone_number": "503-472-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 SW BOOTH BEND RD",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971289320",
            "telephone_number": "503-472-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAUBER",
        "first_name": "TREVOR",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-01",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "4052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Russell St.Cyr
• Tristi Rayne Stackhouse
• Steven Stamps
• Natalee Nicole Stanton, MSW
• Florence Rose Starling, LMT
• Charity J Steele, LMT
• Justin Stehr, D.P.T
• Alexander Joseph Stein, RN BSN
• Stephanie Juliet Campbell, DO, LLC
• Stephen W. Teal, MD,Facs, PC

• Chiropractor in McMinnville, OR
• Providers in McMinnville, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.