Stefan Michael Herold, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3814 Issued in OR

Practice address

1221 SE Madison St
Portland, OR 97214-3890

Phone

(503) 445-7767

Fax

(503) 459-4221

NPI assigned

Sep 15, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2002

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

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.

• Tiferet Family Chiropractic, S.C.

  • Chiropractor
  • Racine, WI
  • NPI 1659439792
  NPD (past) Authorized official
• Root Whole Body Health, Inc

  • Naturopath
  • Portland, OR
  • NPI 1053679845

  Chiropractor

  NPD (past)
• Root Whole Body Health, Inc

  • Naturopath
  • Portland, OR
  • NPI 1497912752
  NPD (past)
• Sheriff Chiropractic, LLC

  • Clinic/Center
  • Racine, WI
  • NPI 1265604649
  NPD (past)

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348617600000",
    "number": "1710972724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13150 SE SALMON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972331653",
            "telephone_number": "503-408-6758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 SE MADISON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972143890",
            "telephone_number": "503-445-7767",
            "fax_number": "503-459-4221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEROLD",
        "first_name": "STEFAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-15",
        "last_updated": "2012-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victor Hernandez
• Zoe Elizabeth Hernandez, AUD
• John Herndon
• Brenda Carol Herold, PMHNP
• Katie Herold, D.C.
• Keegan Heron
• Daniel Bret Herr, M.D.
• Pang Lee Herr, M.S. SLP
• Taylor Herreman
• Ranferi Natalie Herrera Flores, MSW

• Chiropractor in Portland, OR
• Providers in Portland, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; 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.