Individual provider Active NPI

Andrew Isaksen, D.C.

  • Chiropractor
  • Salem, OR
National Provider Identifier
1841529955
Registry record updated Jan 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3961 Issued in OR
Practice address
1797 Lansing Ave NE
Salem, OR 97301-8732
Phone
(503) 391-9112
Fax
(866) 486-2406
NPI assigned
Dec 18, 2009
Last updated
Jan 14, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3961 OR Primary

Addresses

Primary practice location

1797 Lansing Ave NE
Salem, OR 97301-8732

Mailing address

1797 Lansing Ave NE
Salem, OR 97301-8732
Phone (503) 391-9112

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130408000080 OR Practitioner - Chiropractic 1153566500 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NW Family ChiropracticGroup PAC ID 0244475697, 2 clinicians

Practice addresses (Care Compare)

1797 Lansing Ave NE
Salem, OR 97301-8732
Phone (503) 391-9112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3961ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
NW Family Chiropractic Chiropractor CurrentSince Jan 29, 2013 Accepting new patients
NW Family Chiropractic Current Accepting new patients

Locations

1797 Lansing Ave NE
Salem, OR 97301
Phone (503) 364-5751

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, 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": "1261094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358121600000",
    "number": "1841529955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1797 LANSING AVE NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973018732",
            "telephone_number": "503-391-9112",
            "fax_number": "866-486-2406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1797 LANSING AVE NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973018732",
            "telephone_number": "503-391-9112",
            "fax_number": "866-486-2406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISAKSEN",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-18",
        "last_updated": "2013-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2013; 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.