Individual provider Active NPI

Robert Bach, D.C.

  • Chiropractor
  • Portland, OR
National Provider Identifier
1710322557
Registry record updated May 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5145 Issued in OR
Practice address
9045 SW Barbur Blvd
Suite 108
Portland, OR 97219-4021
Phone
(544) 244-2722
NPI assigned
May 7, 2013
Last updated
May 7, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5145 OR Primary

Addresses

Primary practice location

9045 SW Barbur Blvd
Suite 108
Portland, OR 97219-4021

Mailing address

9045 SW Barbur Blvd
Suite 108
Portland, OR 97219-4021
Phone (544) 244-2722

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250506002140 OR Practitioner - Chiropractic 1951834738 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1330 SE Cesar E Chavez Blvd
Portland, OR 97214-4322
Phone (503) 232-1100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5145ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Natural Medicine, Inc Chiropractor CurrentSince May 29, 2025 Accepting new patients
Mountain Park Chiropractic PC Chiropractor Past Accepting new patients

Locations

1330 SE Cesar E Chavez Blvd
Portland, OR 97214
Phone (503) 232-1100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22798/brand/1/csg/1/fhir/r4
  • Direct secure messaging: robert.bach.1@22798.direct.athenahealth.com

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": "1367884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367884800000",
    "number": "1710322557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9045 SW BARBUR BLVD",
            "address_2": "SUITE 108",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972194021",
            "telephone_number": "544-244-2722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9045 SW BARBUR BLVD",
            "address_2": "SUITE 108",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972194021",
            "telephone_number": "544-244-2722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACH",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-07",
        "last_updated": "2013-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5145",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 7, 2013; 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.