Active NPI
David Dutton, DC
- Rehabilitation Chiropractor
- Portland, OR
National Provider Identifier
1629529110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 5759
- Practice address
- 1030 NW Marshall St
Portland, OR 97209-2988 - Phone
- (503) 227-2279
- NPI assigned
- Oct 19, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5759 | OR | |
| Rehabilitation Chiropractor | 111NR0400X | 5759 | OR | Primary |
Addresses
Primary practice location
1030 NW Marshall St
Portland, OR 97209-2988
Mailing address
1030 NW Marshall St
Portland, OR 97209-2988
Phone (502) 227-2279
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 |
|---|---|---|---|
| 5759 | OR | MD | Rehabilitation Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476835200000",
"number": "1629529110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1030 NW MARSHALL ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972092988",
"telephone_number": "502-227-2279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1030 NW MARSHALL ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972092988",
"telephone_number": "503-227-2279"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUTTON",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-10-19",
"last_updated": "2016-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "5759",
"primary": false
},
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "OR",
"license": "5759",
"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 Oct 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.