Individual provider Active NPI

Ben Hokenson, DC

  • Chiropractor
  • Oregon City, OR
National Provider Identifier
1639318686
Registry record updated Jun 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3898 Issued in OR
Practice address
275 Beavercreek Rd
C141
Oregon City, OR 97045-4161
Phone
(503) 730-2788
Fax
(503) 723-4351
NPI assigned
Feb 16, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3898 OR Primary

Addresses

Primary practice location

275 Beavercreek Rd
C141
Oregon City, OR 97045-4161

Mailing address

275 Beavercreek Rd
# C147
Oregon City, OR 97045-4161
Phone (503) 730-2788

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200227000157 OR Practitioner - Chiropractic 7719172758 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Function Performance Sport Chiropractic LLCGroup PAC ID 2769819085, 2 clinicians

Practice addresses (Care Compare)

512 7TH St
Oregon City, OR 97045-2235
Phone (503) 730-2788

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3898ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Function Performance Sport Chiropractic LLC CurrentSince May 1, 2013 Accepting new patients

Locations

512 7th St
Oregon City, OR 97045
Phone (503) 730-2788

275 Beavercreek Rd
#C141
Oregon City, OR 97045
Phone (503) 730-2788

502 7th St
Ste 100
Oregon City, OR 97045
Phone (503) 730-2788

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": "1234742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465516800000",
    "number": "1639318686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 BEAVERCREEK RD",
            "address_2": "# C147",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970454161",
            "telephone_number": "503-730-2788",
            "fax_number": "503-723-4351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 BEAVERCREEK RD",
            "address_2": "C141",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970454161",
            "telephone_number": "503-730-2788",
            "fax_number": "503-723-4351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOKENSON",
        "first_name": "BEN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-16",
        "last_updated": "2016-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oregon City, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2016; 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.