Active NPI
Michael D Winer, D.C.
- Chiropractor
- Portland, OR
National Provider Identifier
1750409298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 22-2572
- Practice address
- 1523 SE Ankeny St
Portland, OR 97214-1446 - Phone
- (503) 233-1304
- Fax
- (503) 595-0234
- NPI assigned
- Mar 26, 2007
- Last updated
- Aug 20, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 22-2572 | OR | Primary |
Addresses
Primary practice location
1523 SE Ankeny St
Portland, OR 97214-1446
Mailing address
1504 SE Main St
Portland, OR 97214-3731
Phone (503) 233-1304
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
| License | State | Type | Specialty |
|---|---|---|---|
| 22-2572 | OR | MD | Chiropractor |
| 2252 | OR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282262400000",
"number": "1750409298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1504 SE MAIN ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972143731",
"telephone_number": "503-233-1304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1523 SE ANKENY ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972141446",
"telephone_number": "503-233-1304",
"fax_number": "503-595-0234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINER",
"first_name": "MICHAEL",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-26",
"last_updated": "2010-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "22-2572",
"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 Aug 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.