Organization Active NPI

Roseway Chiropractic

  • Chiropractor
  • Portland, OR
National Provider Identifier
1689831364
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2096 Issued in OR
Legal business name
ROSEWAY CHIROPRACTIC
Practice address
7131 NE Fremont St
Portland, OR 97213-5835
Phone
(503) 284-6727
NPI assigned
May 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Authorized official

Name
Dr. Thomas N. Johnson, D.C.NPI 1740258631
Title
Owner
Phone
(503) 284-6727

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2096 OR Primary

Addresses

Primary practice location

7131 NE Fremont St
Portland, OR 97213-5835

Mailing address

7131 NE Fremont St
Portland, OR 97213-5835
Phone (503) 284-6727

Other identifiers 1

IdentifierTypeStateIssuer
096537000OtherBLUE CROSS BLUE SHIELD OF OREGON

National Provider Directory

National Provider Directory

Locations

7131 NE Fremont St
Portland, OR 97213
Phone (503) 284-6727

Practitioners & affiliated clinicians

Practitioners 1

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": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1689831364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7131 NE FREMONT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972135835",
            "telephone_number": "503-284-6727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7131 NE FREMONT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972135835",
            "telephone_number": "503-284-6727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEWAY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-284-6727",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "2096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF OREGON",
            "identifier": "096537000",
            "state": null
        }
    ],
    "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 May 20, 2008; 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.