Individual provider Active NPI

Jonathan Stewart Preiss, D.C.

  • Chiropractor
  • Portland, OR
National Provider Identifier
1861537003
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
27 2711 Issued in OR
Practice address
7412 SW Beaverton Hillsdale Hwy
Suite 109
Portland, OR 97225-2162
Phone
(503) 291-1212
Fax
(503) 291-1772
NPI assigned
Feb 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 27 2711 OR Primary

Addresses

Primary practice location

7412 SW Beaverton Hillsdale Hwy
Suite 109
Portland, OR 97225-2162

Mailing address

7412 SW Beaverton Hillsdale Hwy
Suite 109
Portland, OR 97225-2162
Phone (503) 291-1212

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110408000107 OR Practitioner - Chiropractic 4486838836 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27 2711ORMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Art & Science LLC CurrentSince Apr 8, 2011 Accepting new patients

Locations

7412 SW Beaverton Hillsdale Hwy
Ste 109
Portland, OR 97225
Phone (503) 291-1212

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": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861537003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7412 SW BEAVERTON HILLSDALE HWY",
            "address_2": "SUITE 109",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972252162",
            "telephone_number": "503-291-1212",
            "fax_number": "503-291-1772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7412 SW BEAVERTON HILLSDALE HWY",
            "address_2": "SUITE 109",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972252162",
            "telephone_number": "503-291-1212",
            "fax_number": "503-291-1772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREISS",
        "first_name": "JONATHAN",
        "middle_name": "STEWART",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "27 2711",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.