Active NPI
Michael L Warren, DC
- Chiropractor
- Medford, OR
National Provider Identifier
1790811511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 272888
- Practice address
- 3560 National Rd
Suite 100
Medford, OR 97504-4008 - Phone
- (541) 734-7333
- Fax
- (541) 734-8802
- NPI assigned
- Feb 26, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 272888 | OR | Primary |
Addresses
Primary practice location
3560 National Rd
Suite 100
Medford, OR 97504-4008
Mailing address
3560 National Rd
Suite 100
Medford, OR 97504-4008
Phone (541) 734-7333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710930151 | Other | OR | NPI# FOR ORGANIZATION |
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
- Western States College of Chiropractic, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3560 National Dr
Suite 100
Medford, OR 97504-4008
Phone (541) 734-7333
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2888 | OR | MD | Clinical Psychologist |
| 272888 | OR | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crater Chiropractic Clinic PC | Chiropractor | Current | Accepting new patients |
| Jeffrey S. Taylor D.C., P.C. | Chiropractor | Past | Accepting new patients |
Locations
650 E Pine St
Ste 101
Central Point, OR 97502
Phone (541) 664-2275
3560 National Dr
Ste 100
Medford, OR 97504
Phone (541) 734-7333
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 and National Provider Directory roles.
-
- Chiropractor
- Medford, OR
- NPI 1710930151
-
- Chiropractor
- Medford, OR
- NPI 1215136122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192579200000",
"number": "1790811511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3560 NATIONAL RD",
"address_2": "SUITE 100",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975044008",
"telephone_number": "541-734-7333",
"fax_number": "541-734-8802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3560 NATIONAL RD",
"address_2": "SUITE 100",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975044008",
"telephone_number": "541-734-7333",
"fax_number": "541-734-8802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARREN",
"first_name": "MICHAEL",
"middle_name": "L",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-26",
"last_updated": "2007-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "272888",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI# FOR ORGANIZATION",
"identifier": "1710930151",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.