Individual provider Active NPI

Joseph Matthew Farris, D.C.

  • Chiropractor
  • Bend, OR
National Provider Identifier
1770953085
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6307 Issued in OR
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

Updated by the provider on Jun 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20230616001013 OR Practitioner - Chiropractic 1355709767 Reassigns benefits to 1 organization

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
Shawn Lutz DC LLCGroup PAC ID 3375970395, 3 clinicians

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

LicenseStateTypeSpecialty
60610067WAMDChiropractor
6307ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Shawn Lutz DC LLC CurrentSince Jun 15, 2023 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.

Verify at the official NPI Registry.