Organization Active NPI

Chiropractic Art & Science LLC

  • Health Service Clinic/Center
  • Portland, OR
National Provider Identifier
1902100902
Registry record updated Jan 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
2711 Issued in OR
Legal business name
CHIROPRACTIC ART & SCIENCE LLC
Practice address
7412 SW Beaverton Hillsdale Hwy
Suite 109
Portland, OR 97225-2162
Phone
(503) 291-1212
Fax
(503) 291-1772
NPI assigned
Jan 5, 2011
Last updated
Jan 5, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2011

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

Authorized official

Name
Dr. Jonathan Stewart Preiss, DCNPI 1861537003
Title
Owner
Phone
(503) 291-1212

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 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

Other identifiers 2

IdentifierTypeStateIssuer
T42043OtherORUPIN
000000000019664OtherORREGENCE ORGANIZATION ACCESS IDENTICATION (OAID)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110406000951 OR Part B Supplier - Clinic/Group Practice 8921282484 Receives reassigned benefits from 2 practitioners
Practice locations: Portland, OR

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1294185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294185600000",
    "number": "1902100902",
    "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": {
        "organization_name": "CHIROPRACTIC ART & SCIENCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-05",
        "last_updated": "2011-01-05",
        "status": "A",
        "authorized_official_last_name": "PREISS",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "STEWART",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-291-1212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "OR",
            "license": "2711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "T42043",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE ORGANIZATION ACCESS IDENTICATION (OAID)",
            "identifier": "000000000019664",
            "state": "OR"
        }
    ],
    "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 Jan 5, 2011; 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.