Individual provider Active NPI

Seth E Hosmer, D.C.

  • Chiropractor
  • Portland, OR
National Provider Identifier
1629247945
Registry record updated Jul 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3793 Issued in OR
Practice address
1102 NW 10TH Ave
Portland, OR 97209-3472
Phone
(503) 227-2279
Fax
(888) 767-4379
NPI assigned
Feb 21, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3793 OR Primary

Addresses

Primary practice location

1102 NW 10TH Ave
Portland, OR 97209-3472

Mailing address

1102 NW 10TH Ave
Portland, OR 97209-3472
Phone (503) 227-2279

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120315000253 OR Practitioner - Chiropractic 4587823208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2007
Medicare assignment
May accept Medicare assignment
Group practices
Hosmer Chiropractic Health LLCGroup PAC ID 6507025228, 9 clinicians

Practice addresses (Care Compare)

1030 NW Marshall St
Portland, OR 97209-2988
Phone (503) 227-2279

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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.

NPI Registry JSON

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311120000000",
    "number": "1629247945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 NW 10TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972093472",
            "telephone_number": "503-227-2279",
            "fax_number": "888-767-4375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 NW 10TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972093472",
            "telephone_number": "503-227-2279",
            "fax_number": "888-767-4379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSMER",
        "first_name": "SETH",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-21",
        "last_updated": "2011-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3793",
            "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 Jul 20, 2011; 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.