Individual provider Active NPI

Richard D Page, CHIROPRACTOR

  • Chiropractor
  • McMinnville, OR
National Provider Identifier
1922071547
Registry record updated Feb 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5694 Issued in OR
Practice address
2270 NE McDaniel LN
Suite a
McMinnville, OR 97128-3247
Phone
(503) 472-2523
NPI assigned
Feb 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5694 OR Primary

Addresses

Primary practice location

2270 NE McDaniel LN
Suite a
McMinnville, OR 97128-3247

Mailing address

2270 NE McDaniel LN
Suite a
McMinnville, OR 97128-3247
Phone (503) 472-2523

Other identifiers 1

IdentifierTypeStateIssuer
27164021OtherMOBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160323001335 OR Practitioner - Chiropractic 9739486416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 1999
Medicare assignment
May accept Medicare assignment
Group practices
Miller Chiropractic Health Clinic IncGroup PAC ID 1153567458, 3 clinicians

Practice addresses (Care Compare)

315 NE Kirby St
McMinnville, OR 97128-4320
Phone (503) 472-2523

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5694ORMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Miller Chiropractic Health Clinic, Inc. Chiropractor CurrentSince Mar 1, 2016 Accepting new patients

Locations

315 NE Kirby St
McMinnville, OR 97128
Phone (503) 472-2111

2270 NE McDaniel Ln
Ste A
McMinnville, OR 97128
Phone (503) 472-2523

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": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454976000000",
    "number": "1922071547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2270 NE MCDANIEL LN",
            "address_2": "SUITE A",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971283247",
            "telephone_number": "503-472-2523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2270 NE MCDANIEL LN",
            "address_2": "SUITE A",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971283247",
            "telephone_number": "503-472-2523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGE",
        "first_name": "RICHARD",
        "middle_name": "D",
        "credential": "CHIROPRACTOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2016-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "27164021",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McMinnville, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2016; 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.