Individual provider Active NPI

Scott David Haines, DC, BFA, AAS

  • Chiropractor
  • Portland, OR
National Provider Identifier
1720236292
Registry record updated Sep 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3810 Issued in OR
Practice address
7931 NE Halsey St Ste 307
Portland, OR 97213-6793
Phone
(503) 255-8293
NPI assigned
Sep 8, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3810 OR Primary

Addresses

Primary practice location

7931 NE Halsey St Ste 307
Portland, OR 97213-6793

Mailing address

7931 NE Halsey St Ste 307
Portland, OR 97213-6793
Phone (503) 255-8293

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220125000747 OR Practitioner - Chiropractic 4183016140 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2007
Medicare assignment
May accept Medicare assignment
Group practices
Hosmer Chiropractic Health LLCGroup PAC ID 6507025228, 9 clinicians

Practice addresses (Care Compare)

7689 SW Capitol Hwy
Portland, OR 97219-2475
Phone (503) 293-3001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Associate of Applied Science, Bachelor of Fine Arts

State licenses

LicenseStateTypeSpecialty
3810ORMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Arthur L Parker, DMD, Inc. Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220832000000",
    "number": "1720236292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7931 NE HALSEY ST STE 307",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972136793",
            "telephone_number": "503-255-8293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7931 NE HALSEY ST STE 307",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972136793",
            "telephone_number": "503-255-8293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAINES",
        "first_name": "SCOTT",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DC, BFA, AAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-08",
        "last_updated": "2008-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3810",
            "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 Sep 8, 2008; 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.