Organization Active NPI

Saige Chiropractic LLC

  • Chiropractor
  • Scappoose, OR
National Provider Identifier
1740946151
Registry record updated Jan 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SAIGE CHIROPRACTIC LLC
Practice address
33608 E Columbia Ave Ste 110
Scappoose, OR 97056-3442
Phone
(503) 987-4100
Fax
(503) 987-4107
NPI assigned
Nov 10, 2021
Last updated
Jan 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2023

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

Authorized official

Name
Dr. Jamie Marie Ellis, DCNPI 1487771622
Title
Owner
Phone
(503) 987-4100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

33608 E Columbia Ave Ste 110
Scappoose, OR 97056-3442

Mailing address

33608 E Columbia Ave Ste 110
Scappoose, OR 97056-3442
Phone (503) 987-4100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220926003601 OR Part B Supplier - Clinic/Group Practice 7517343775 Receives reassigned benefits from 1 practitioner
Practice locations: Scappoose, OR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1636502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673740800000",
    "number": "1740946151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33608 E COLUMBIA AVE STE 110",
            "city": "SCAPPOOSE",
            "state": "OR",
            "postal_code": "970563442",
            "telephone_number": "503-987-4100",
            "fax_number": "503-987-4107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33608 E COLUMBIA AVE STE 110",
            "city": "SCAPPOOSE",
            "state": "OR",
            "postal_code": "970563442",
            "telephone_number": "503-987-4100",
            "fax_number": "503-987-4107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAIGE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-10",
        "last_updated": "2023-01-15",
        "certification_date": "2023-01-15",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-987-4100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scappoose, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.