Active NPI
Timothy Joseph Swindler, D.C.
- Chiropractor
- Portland, OR
National Provider Identifier
1780670778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 27-3387
- Practice address
- 12728 SE Stark St BLDG G
Portland, OR 97233-1539 - Phone
- (503) 252-5097
- Fax
- (503) 252-5297
- NPI assigned
- Sep 25, 2005
- Last updated
- Dec 18, 2008
- 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 | 27-3387 | OR | Primary |
Addresses
Primary practice location
12728 SE Stark St BLDG G
Portland, OR 97233-1539
Mailing address
12728 SE Stark St BLDG G
Portland, OR 97233-1539
Phone (503) 252-5097
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 75 3115541 | Other | OR | TAX ID |
| 823823000 | Other | OR | BLUECROSS BLUE SHEILD |
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 |
|---|---|---|---|
| 27-3387 | OR | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chirotime, P.C. | Chiropractor | Past | Accepting new patients |
| Nguyen Family Chiropractic PC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Chiropractor
- Portland, OR
- NPI 1245375559
-
- Chiropractor
- Beaverton, OR
- NPI 1811108202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229558400000",
"number": "1780670778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12728 SE STARK ST BLDG G",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972331539",
"telephone_number": "503-252-5097",
"fax_number": "503-252-5297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12728 SE STARK ST BLDG G",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972331539",
"telephone_number": "503-252-5097",
"fax_number": "503-252-5297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWINDLER",
"first_name": "TIMOTHY",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-25",
"last_updated": "2008-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "27-3387",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "75 3115541",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUE SHEILD",
"identifier": "823823000",
"state": "OR"
}
],
"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 Dec 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.