NPIMap

Organization Active NPI

Aspire Chiropractic & Massage Inc.

Doing business as Aspire Chiropractic & Massage

  • Chiropractor
  • Gresham, OR
National Provider Identifier
1780923532
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4022 Issued in OR
Legal business name
ASPIRE CHIROPRACTIC & MASSAGE INC.
Doing business as
Aspire Chiropractic & Massage
Practice address
23479 SE Stark St Ste 101
Gresham, OR 97030-2962
Phone
(503) 618-0147
Fax
(503) 618-0148
NPI assigned
Feb 13, 2013
Last updated
Oct 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Authorized official

Name
Dr. Mark Betsill, D.C.NPI 1003092248
Title
Owner/Doctor of Chiropractic
Phone
(503) 618-0147

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4022 OR Primary

Addresses

Primary practice location

23479 SE Stark St Ste 101
Gresham, OR 97030-2962

Mailing address

23479 SE Stark St Ste 101
Gresham, OR 97030-2962
Phone (503) 618-0147

Other names 1

  • Aspire Chiropractic & Massage Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130422000054 OR Part B Supplier - Clinic/Group Practice 0941446868 Receives reassigned benefits from 2 practitioners
Practice locations: Gresham, OR

National Provider Directory

National Provider Directory

Locations

22124 NE Glisan St
Gresham, OR 97030
Phone (503) 618-0147

790 E Powell Blvd
Gresham, OR 97030
Phone (503) 618-0147

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1360713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697587200000",
    "number": "1780923532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23479 SE STARK ST STE 101",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970302962",
            "telephone_number": "503-618-0147",
            "fax_number": "503-618-0148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23479 SE STARK ST STE 101",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970302962",
            "telephone_number": "503-618-0147",
            "fax_number": "503-618-0148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPIRE CHIROPRACTIC & MASSAGE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-13",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A",
        "authorized_official_last_name": "BETSILL",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER/DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "503-618-0147",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "4022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspire Chiropractic & Massage",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Aspire Chiropractic & Massage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gresham, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.