Individual provider Active NPI

Kevin Hallmeyer, DC

  • Chiropractor
  • Bend, OR
National Provider Identifier
1821561150
Registry record updated Jan 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5931 Issued in OR
Practice address
750 NW Charbonneau St.
Suite 101
Bend, OR 97703
Phone
(541) 848-6834
Fax
(541) 537-4760
NPI assigned
Jan 9, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5931 OR Primary

Addresses

Primary practice location

750 NW Charbonneau St.
Suite 101
Bend, OR 97703

Mailing address

750 NW Charbonneau St.
Suite 101
Bend, OR 97703
Phone (541) 848-6834

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190611000977 OR Practitioner - Chiropractic 5890028690 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

750 NW Charbonneau St
Suite 101
Bend, OR 97703-7046
Phone (541) 848-6834

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1546992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546992000000",
    "number": "1821561150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 NW CHARBONNEAU ST.",
            "address_2": "SUITE 101",
            "city": "BEND",
            "state": "OR",
            "postal_code": "97703",
            "telephone_number": "541-848-6834",
            "fax_number": "541-537-4760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 NW CHARBONNEAU ST.",
            "address_2": "SUITE 101",
            "city": "BEND",
            "state": "OR",
            "postal_code": "97703",
            "telephone_number": "541-848-6834",
            "fax_number": "541-537-4760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLMEYER",
        "first_name": "KEVIN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-09",
        "last_updated": "2019-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; 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.