Adam E Derr, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

71 3623 Issued in OR

Practice address

612 NE Savannah Dr Ste 1
Bend, OR 97701-4874

Phone

(541) 385-7890

Fax

(541) 728-0546

NPI assigned

Jul 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Chiropractic

Education

Western States College of Chiropractic, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Adam Derr, P.C.

  • Clinic/Center
  • Bend, OR
  • NPI 1073756615

  OR

  Medicare reassignment NPD Authorized official
• Doug Willems D.C., P.C.

  • Chiropractor
  • Madras, OR
  • NPI 1154757516
  NPD (past)

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391644800000",
    "number": "1811901671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 NE SAVANNAH DR STE 1",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014874",
            "telephone_number": "541-385-7890",
            "fax_number": "541-728-0546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 NE SAVANNAH DR STE 1",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014874",
            "telephone_number": "541-385-7890",
            "fax_number": "541-728-0546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERR",
        "first_name": "ADAM",
        "middle_name": "E",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2014-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "71 3623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel Michael Depper, M.D.
• Ashlee Elizabeth Deprater
• Kristina Louise Derksen, PEER SUPPORT
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• Thomas John Dernbach, PA-C
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• Deschutes Alternative Healthcare PC
• Deschutes Counseling LLC
• Deschutes County Adult Jail
• Deschutes County Adult Parole and Probation

• All providers in Bend, OR
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2014; 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.