Omar Alejandro Flores, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH61246503 Issued in WA

Practice address

221A NE 104TH Ave Ste 205
Vancouver, WA 98664-4539

Phone

(360) 464-1900

NPI assigned

Feb 15, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Ibolit Manual Medicine PC.

  • Chiropractor
  • Portland, OR
  • NPI 1245946854
  NPD (past)

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1669127916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 E 5TH ST APT C309",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986616007",
            "telephone_number": "360-504-7349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221A NE 104TH AVE STE 205",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986644539",
            "telephone_number": "360-464-1900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18633 SE Stark St Ste 314",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972335468",
            "country_code": "US",
            "telephone_number": "503-676-3131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLORES",
        "first_name": "OMAR",
        "middle_name": "ALEJANDRO",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-15",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH61246503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "customerservice@dribolit.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "221A NE 104th Ave Ste 205",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986644539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Saussha Sean Flint, MSW
• Janice Flock
• Karen Leigh Flores, RDH
• Maria Lise Flores, PH.D.
• Omar Flores
• Valeria Flores
• William Joseph Florkowski, PHARM D
• Flourish LLC
• Flourish: a Space for Dimensional Healing
• Flourishlmt PLLC (Flourish Massage)

• Chiropractor in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; 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.