Active NPI
Joseph Matthew Farris, D.C.
- Chiropractor
- Bend, OR
National Provider Identifier
1770953085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6307
- Practice address
- 296 SW Columbia St Ste D1
Bend, OR 97702-1020 - Phone
- (541) 600-2558
- NPI assigned
- Sep 29, 2015
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 60610067 | WA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Chiropractor | 111N00000X | 6307 | OR | Primary |
Addresses
Primary practice location
296 SW Columbia St Ste D1
Bend, OR 97702-1020
Mailing address
2552 NE Purcell Blvd
Bend, OR 97701-6094
Phone (425) 492-6916
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
296 SW Columbia St
Suite D1
Bend, OR 97702-1020
Phone (541) 600-2558
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60610067 | WA | MD | Chiropractor |
| 6307 | OR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shawn Lutz DC LLC | Current | Accepting new patients |
Locations
296 SW Columbia St
Ste D1
Bend, OR 97702
Phone (541) 390-8897
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": "1443484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686096000000",
"number": "1770953085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2552 NE PURCELL BLVD",
"city": "BEND",
"state": "OR",
"postal_code": "977016094",
"telephone_number": "425-492-6916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "296 SW COLUMBIA ST STE D1",
"city": "BEND",
"state": "OR",
"postal_code": "977021020",
"telephone_number": "541-600-2558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARRIS",
"first_name": "JOSEPH",
"middle_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-09-29",
"last_updated": "2023-06-07",
"certification_date": "2023-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "60610067",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "6307",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.