NPIMap

Organization Active NPI

David M Panzer, D.C.

  • Clinic/Center
  • Beaverton, OR
National Provider Identifier
1639453376
Registry record updated Dec 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
1925 Issued in OR
Legal business name
DAVID M PANZER, D.C.
Practice address
1865 NW 169TH PL
Suite 100
Beaverton, OR 97006-7327
Phone
(503) 614-8300
Fax
(503) 614-9081
NPI assigned
Sep 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2012

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

Authorized official

Name
Dr. David M Panzer, D.CNPI 1093923104
Title
Owner
Phone
(503) 614-8300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 1925 OR Primary

Addresses

Primary practice location

1865 NW 169TH PL
Suite 100
Beaverton, OR 97006-7327

Mailing address

1865 NW 169TH PL
Suite 100
Beaverton, OR 97006-7327
Phone (503) 614-8300

Other identifiers 3

IdentifierTypeStateIssuer
0-23082OtherORBLUE CROSS
0000QGCRPOtherORMEDICARE
1093923104OtherORNPI

Other names 1

  • Baseline Chiropractic Clinic, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

1865 NW 169th Pl
Ste 100
Beaverton, OR 97006
Phone (503) 614-8300

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1317254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355788800000",
    "number": "1639453376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1865 NW 169TH PL",
            "address_2": "SUITE 100",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970067327",
            "telephone_number": "503-614-8300",
            "fax_number": "503-614-9081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1865 NW 169TH PL",
            "address_2": "SUITE 100",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970067327",
            "telephone_number": "503-614-8300",
            "fax_number": "503-614-9081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID M PANZER, D.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-29",
        "last_updated": "2012-12-18",
        "status": "A",
        "authorized_official_last_name": "PANZER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-614-8300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OR",
            "license": "1925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0-23082",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "0000QGCRP",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1093923104",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baseline Chiropractic Clinic, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.