Individual provider Active NPI

Robert J Chestler, M.D.

  • Ophthalmology Physician
  • Portland, OR
National Provider Identifier
1841286366
Registry record updated Sep 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
16214 Issued in OR
Practice address
10502 NE Wasco St
Portland, OR 97220-3948
Phone
(503) 252-2467
Fax
(503) 252-0670
NPI assigned
Sep 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 16214 OR Primary

Addresses

Primary practice location

10502 NE Wasco St
Portland, OR 97220-3948

Mailing address

10502 NE Wasco St
Portland, OR 97220-3948
Phone (503) 252-2467

Other identifiers 1

IdentifierTypeStateIssuer
13545MedicaidOR

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
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253750400000",
    "number": "1841286366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10502 NE WASCO ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972203948",
            "telephone_number": "503-252-2467",
            "fax_number": "503-252-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10502 NE WASCO ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972203948",
            "telephone_number": "503-252-2467",
            "fax_number": "503-252-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHESTLER",
        "first_name": "ROBERT",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2009-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "16214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13545",
            "state": "OR"
        }
    ],
    "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 Sep 24, 2009; 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.