Individual provider Active NPI

Robert Scheer Neilson, ND. LAC

  • Naturopath
  • Canby, OR
National Provider Identifier
1790140879
Registry record updated Dec 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
3023 Issued in OR
Practice address
452 NW 1St Ave
Canby, OR 97013-3532
Phone
(503) 266-7443
Fax
(503) 266-7449
NPI assigned
Dec 16, 2015
Last updated
Dec 16, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC174915 OR
Naturopath 175F00000X 3023 OR Primary

Addresses

Primary practice location

452 NW 1St Ave
Canby, OR 97013-3532

Mailing address

452 NW 1St Ave
Canby, OR 97013-3532
Phone (503) 266-7443

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3023ORMDPsychologist
AC174915ORMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Canby Clinic Naturopath Past Accepting new patients
Pioneer Family Medicine PC 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.

NPI Registry JSON

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

{
    "created_epoch": "1450224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450224000000",
    "number": "1790140879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "452 NW 1ST AVE",
            "city": "CANBY",
            "state": "OR",
            "postal_code": "970133532",
            "telephone_number": "503-266-7443",
            "fax_number": "503-266-7449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452 NW 1ST AVE",
            "city": "CANBY",
            "state": "OR",
            "postal_code": "970133532",
            "telephone_number": "503-266-7443",
            "fax_number": "503-266-7449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEILSON",
        "first_name": "ROBERT",
        "middle_name": "SCHEER",
        "credential": "ND. LAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-16",
        "last_updated": "2015-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC174915",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "3023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canby, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.