Individual provider Active NPI

Delaney Marie Costello Gettel, DC

  • Chiropractor
  • Lake Oswego, OR
National Provider Identifier
1750847638
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5975 Issued in OR
Practice address
4847 Meadows Rd Ste 153
Lake Oswego, OR 97035-2626
Phone
(971) 330-8578
NPI assigned
Feb 14, 2019
Last updated
Mar 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5975 OR Primary

Addresses

Primary practice location

4847 Meadows Rd Ste 153
Lake Oswego, OR 97035-2626

Mailing address

4847 Meadows Rd Ste 153
Lake Oswego, OR 97035-2626
Phone (971) 330-8578

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201015001199 OR Practitioner - Chiropractic 2163842006 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Active Oregon ChiropracticGroup PAC ID 5799043592, 3 clinicians

Practice addresses (Care Compare)

130 W Clarendon St
Gladstone, OR 97027-2335
Phone (503) 655-2897

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5975ORMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Asula Chiropractic and Wellness Center, Inc. Chiropractor CurrentSince Sep 28, 2020 Accepting new patients
Active Oregon Chiropractic Chiropractor CurrentSince Jun 20, 2024 Accepting new patients
Active Living Chiropractic, P.C. Past Accepting new patients

Locations

130 W Clarendon St
Gladstone, OR 97027
Phone (503) 655-2897

4847 Meadows Rd
Ste 153
Lake Oswego, OR 97035
Phone (971) 330-8578

818 NW Marshall St
Portland, OR 97209
Phone (503) 719-5334

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1550102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1750847638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4847 MEADOWS RD STE 153",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970352626",
            "telephone_number": "971-330-8578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4847 MEADOWS RD STE 153",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970352626",
            "telephone_number": "971-330-8578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GETTEL",
        "first_name": "DELANEY",
        "middle_name": "MARIE COSTELLO",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-14",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Oswego, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; 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.