Individual provider Active NPI

Matthew Scott Bailey, D.C.

  • Chiropractor
  • Salem, OR
National Provider Identifier
1902036189
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3791 Issued in OR
Practice address
1190 Cross St SE
Salem, OR 97302-2924
Phone
(971) 718-2117
Fax
(503) 364-1954
NPI assigned
Jul 21, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3791 OR Primary

Addresses

Primary practice location

1190 Cross St SE
Salem, OR 97302-2924

Mailing address

1190 Cross St SE
Salem, OR 97302-2924
Phone (971) 718-2117

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131212001701 OR Practitioner - Chiropractic 6103053442 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1190 Cross St SE
Salem, OR 97302-2924
Phone (971) 718-2117

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3791ORMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bailey Chiropractic and Rehabilitation Center LLC Chiropractor CurrentSince Oct 21, 2013 Accepting new patients

Locations

1190 Cross St SE
Salem, OR 97302
Phone (503) 581-1801

1100 Liberty St SE
Ste 2
Salem, OR 97302
Phone (503) 428-2563

2600 Pringle Rd SE
Ste 102
Salem, OR 97302
Phone (503) 689-1604

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1248134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1902036189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 CROSS ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973022924",
            "telephone_number": "971-718-2117",
            "fax_number": "503-364-1954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 CROSS ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973022924",
            "telephone_number": "971-718-2117",
            "fax_number": "503-364-1954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "MATTHEW",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-21",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3791",
            "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 May 20, 2025; 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.