Individual provider Active NPI

Geoff Geness, D.C., LAC.

  • Chiropractor
  • Portland, OR
National Provider Identifier
1790956555
Registry record updated Dec 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
71 3762 Issued in OR
Practice address
6040 SE Belmont St
Suite 1230
Portland, OR 97215-1974
Phone
(503) 236-8701
Fax
(503) 236-8710
NPI assigned
Mar 19, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 71 3762 OR Primary
Acupuncturist 171100000X AC160346 OR

Addresses

Primary practice location

6040 SE Belmont St
Suite 1230
Portland, OR 97215-1974

Mailing address

6040 SE Belmont St
Suite 1230
Portland, OR 97215-1974
Phone (503) 236-8701

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

LicenseStateTypeSpecialty
71 3762ORMDChiropractor
AC160346ORMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Ryan Baker, D.C. P.C. Chiropractor CurrentSince Sep 10, 2018 Accepting new patients
Maryann Geness Chiropractor PastSince Apr 15, 2019 Accepting new patients

Locations

333 SW 5th St
Ste B
Grants Pass, OR 97526
Phone (541) 471-0397

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.

NPI Registry JSON

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355875200000",
    "number": "1790956555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6040 SE BELMONT ST",
            "address_2": "SUITE 1230",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972151974",
            "telephone_number": "503-236-8701",
            "fax_number": "503-236-8710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6040 SE BELMONT ST",
            "address_2": "SUITE 1230",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972151974",
            "telephone_number": "503-236-8701",
            "fax_number": "503-236-8710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENESS",
        "first_name": "GEOFF",
        "name_prefix": "Dr.",
        "credential": "D.C., LAC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-19",
        "last_updated": "2012-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "71 3762",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC160346",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 19, 2012; 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.