Individual provider Active NPI

Megan Dejana, D.C.

  • Chiropractor
  • Portland, OR
National Provider Identifier
1871506600
Registry record updated Aug 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
713632 Issued in OR
Practice address
1815 SW Marlow Ave
Suite 206
Portland, OR 97225-5185
Phone
(503) 789-1014
Fax
(877) 985-9111
NPI assigned
Aug 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 713632 OR Primary
Chiropractor 111N00000X CH00034630 WA

Addresses

Primary practice location

1815 SW Marlow Ave
Suite 206
Portland, OR 97225-5185

Mailing address

1815 SW Marlow Ave
Suite 206
Portland, OR 97225-5185
Phone (503) 789-1014

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070906000410 OR Practitioner - Chiropractic 4688767726 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12525 NW Cornell Rd
Suite 101
Portland, OR 97229-5615
Phone (503) 789-1014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
713632ORMDChiropractor
CH00034630WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Active Wellness Chiropractic,PC Chiropractor CurrentSince May 14, 2016 Accepting new patients
Allied Chiropractic, PC Chiropractor PastSince Nov 18, 2003 Accepting new patients

Locations

1815 SW Marlow Ave
Ste 206
Portland, OR 97225
Phone (503) 296-6144

12525 NW Cornell Rd
Ste 101
Portland, OR 97229
Phone (503) 789-1014

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408406400000",
    "number": "1871506600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 SW MARLOW AVE",
            "address_2": "SUITE 206",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255185",
            "telephone_number": "503-789-1014",
            "fax_number": "877-985-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 SW MARLOW AVE",
            "address_2": "SUITE 206",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255185",
            "telephone_number": "503-789-1014",
            "fax_number": "877-985-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEJANA",
        "first_name": "MEGAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2014-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "713632",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034630",
            "primary": false
        }
    ],
    "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 Aug 19, 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.