Active NPI
Michael Gerard Cardinal, DC
- Chiropractor
- Tigard, OR
National Provider Identifier
1609353424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5927
- Practice address
- 7145 SW Varns St Ste 102
Tigard, OR 97223-8170 - Phone
- (208) 821-4784
- NPI assigned
- Jul 24, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 | 5927 | OR | Primary |
Addresses
Primary practice location
7145 SW Varns St Ste 102
Tigard, OR 97223-8170
Mailing address
7145 SW Varns St Ste 102
Tigard, OR 97223-8170
Phone (208) 821-4784
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5927 | OR | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bailey Chiropractic and Rehabilitation Center LLC | Chiropractor | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Chiropractor
- Salem, OR
- NPI 1093143638
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710028800000",
"number": "1609353424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7145 SW VARNS ST STE 102",
"city": "TIGARD",
"state": "OR",
"postal_code": "972238170",
"telephone_number": "208-821-4784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7145 SW VARNS ST STE 102",
"city": "TIGARD",
"state": "OR",
"postal_code": "972238170",
"telephone_number": "208-821-4784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARDINAL",
"first_name": "MICHAEL",
"middle_name": "GERARD",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-07-24",
"last_updated": "2024-03-10",
"certification_date": "2024-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "5927",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tigard, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.