Individual provider Active NPI

Suzana Rose Levy, D.C.

  • Chiropractor
  • Portland, OR
National Provider Identifier
1891987459
Registry record updated Mar 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
713723 Issued in OR
Practice address
2100 NE Broadway St
Suite 225
Portland, OR 97232-1569
Phone
(503) 719-5000
Fax
(971) 255-1754
NPI assigned
Aug 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 713723 OR Primary

Addresses

Primary practice location

2100 NE Broadway St
Suite 225
Portland, OR 97232-1569

Mailing address

2100 NE Broadway St
Suite 225
Portland, OR 97232-1569
Phone (503) 719-5000

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

State licenses

LicenseStateTypeSpecialty
713723ORMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Pro Chiropractic LLC Current Accepting new patients
Pro Chiropractic LLC Chiropractor Current Accepting new patients

Locations

2100 NE Broadway St
Ste 225
Portland, OR 97232
Phone (503) 719-5000

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": "1187222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394668800000",
    "number": "1891987459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 NE BROADWAY ST",
            "address_2": "SUITE 225",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321569",
            "telephone_number": "503-719-5000",
            "fax_number": "971-255-1754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 NE BROADWAY ST",
            "address_2": "SUITE 225",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321569",
            "telephone_number": "503-719-5000",
            "fax_number": "971-255-1754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVY",
        "first_name": "SUZANA",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-16",
        "last_updated": "2014-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "713723",
            "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 Mar 13, 2014; 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.