William Patrick Martindale, D.C, M.S, DACBSP

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

5047 Issued in OR

Practice address

8600 SW Salish LN Ste 2
Wilsonville, OR 97070-9619

Phone

(971) 754-5918

NPI assigned

Nov 2, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• No Boundaries Sport and Spine LLC

  • Sports Physician Chiropractor
  • Wilsonville, OR
  • NPI 1437799939
  NPD Authorized official

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

{
    "created_epoch": "1351814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579824000000",
    "number": "1730433400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1943",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970701943",
            "telephone_number": "971-754-5918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 SW SALISH LN STE 2",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970709619",
            "telephone_number": "971-754-5918"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2900 NE 132nd Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972303014",
            "country_code": "US",
            "telephone_number": "503-251-2849",
            "fax_number": "503-255-5794",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINDALE",
        "first_name": "WILLIAM",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "D.C, M.S, DACBSP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-02",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5047",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "OR",
            "license": "5047",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "OR",
            "license": "5047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "nbsportandspine@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "business",
            "address_1": "8600 SW Salish Ln Ste 2",
            "city": "Wilsonville",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970709619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Sports Physician Chiropractor in Wilsonville, OR
• Providers in Wilsonville, OR by specialty
• Sports Physician Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; 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.