Individual provider Active NPI

Felipe Raul Rodriguez, D.C.

  • Chiropractor
  • Hillsboro, OR
National Provider Identifier
1730415225
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3959 Issued in OR
Practice address
1001 SE Tualatin Valley Hwy
Suite A29
Hillsboro, OR 97123-5097
Phone
(503) 648-2700
Fax
(503) 648-2744
NPI assigned
Oct 19, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3959 OR Primary

Addresses

Primary practice location

1001 SE Tualatin Valley Hwy
Suite A29
Hillsboro, OR 97123-5097

Mailing address

16742 SE Division St
# 100
Portland, OR 97236-1414
Phone (503) 386-1993

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3959ORMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Sierra Accident and Injury Rehabilitation P.C. Chiropractor Past Accepting new patients

Organizations & group practices 1

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": "1255910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1730415225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16742 SE DIVISION ST",
            "address_2": "# 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972361414",
            "telephone_number": "503-386-1993",
            "fax_number": "503-386-1993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 SE TUALATIN VALLEY HWY",
            "address_2": "SUITE A29",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971235097",
            "telephone_number": "503-648-2700",
            "fax_number": "503-648-2744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "FELIPE",
        "middle_name": "RAUL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-19",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; 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.