Individual provider Active NPI

Alpheus Martin Thornton Jr., DC

  • Chiropractor
  • Independence, OR
National Provider Identifier
1811029515
Registry record updated Sep 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3025 Issued in OR
Practice address
1650 Monmouth Street
Independence, OR 97351-9726
Phone
(503) 838-3346
Fax
(503) 838-3346
NPI assigned
Mar 9, 2007
Last updated
Sep 13, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3025 OR Primary

Addresses

Primary practice location

1650 Monmouth Street
Independence, OR 97351-9726

Mailing address

1650 Monmouth Street
Independence, OR 97351-9726
Phone (503) 838-3346

Other identifiers 1

IdentifierTypeStateIssuer
150836MedicaidOR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101008000341 OR Practitioner - Chiropractic 8022200088 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1996
Medicare assignment
May accept Medicare assignment
Group practices
Am and Sharon C ThorntonGroup PAC ID 2961392212, 3 clinicians

Practice addresses (Care Compare)

1650 Monmouth St
Independence, OR 97351-9726
Phone (503) 838-3346

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3025ORMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Am & Sharon C Thornton Chiropractor CurrentSince Nov 1, 1997 Accepting new patients

Locations

1650 Monmouth St
Independence, OR 97351
Phone (503) 838-3346

Organizations & group practices 1

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": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284336000000",
    "number": "1811029515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 MONMOUTH STREET",
            "city": "INDEPENDENCE",
            "state": "OR",
            "postal_code": "973519726",
            "telephone_number": "503-838-3346",
            "fax_number": "503-838-3346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 MONMOUTH STREET",
            "city": "INDEPENDENCE",
            "state": "OR",
            "postal_code": "973519726",
            "telephone_number": "503-838-3346",
            "fax_number": "503-838-3346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNTON",
        "first_name": "ALPHEUS",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-09",
        "last_updated": "2010-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150836",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2010; 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.

Verify at the official NPI Registry.