Individual provider Active NPI

Jacob A Hernandez, DC

  • Chiropractor
  • Redmond, OR
National Provider Identifier
1699557892
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6413 Issued in OR
Practice address
813 SW Highland Ave Ste 103
Redmond, OR 97756-3103
Phone
(541) 516-0060
NPI assigned
Oct 20, 2023
Last updated
Mar 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6413 OR Primary

Addresses

Primary practice location

813 SW Highland Ave Ste 103
Redmond, OR 97756-3103

Mailing address

411 Lewis St
Silverton, OR 97381-1737
Phone (541) 516-0060

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250314002612 OR Practitioner - Chiropractic 8921520362 Practice locations: Redmond, OR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6413ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
High Desert Spine Chiropractor Current Accepting new patients
Hutton Chiropractic Clinic Inc Chiropractor CurrentSince Oct 22, 2023 Accepting new patients

Locations

813 SW Highland Ave
Ste 103
Redmond, OR 97756
Phone (541) 516-0060

703 Broadway St
Ste 500
Vancouver, WA 98660
Phone (360) 609-0081

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1697760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773964800000",
    "number": "1699557892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 LEWIS ST",
            "city": "SILVERTON",
            "state": "OR",
            "postal_code": "973811737",
            "telephone_number": "541-516-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 SW HIGHLAND AVE STE 103",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977563103",
            "telephone_number": "541-516-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "JACOB",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-20",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "6413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.