Individual provider Active NPI

Adrian Rene Rimm, DC, MS

  • Chiropractor
  • Portland, OR
National Provider Identifier
1922508332
Registry record updated Jul 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5885 Issued in OR
Practice address
806 SW Broadway Ste 350
Portland, OR 97205-3336
Phone
(503) 224-9513
NPI assigned
Feb 13, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 44619 OR
Chiropractor 111N00000X 5885 OR Primary

Addresses

Primary practice location

806 SW Broadway Ste 350
Portland, OR 97205-3336

Mailing address

3225 NE Weidler St Apt 462
Portland, OR 97232-3460

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
44619ORMDChiropractor
5885ORMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1518480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532995200000",
    "number": "1922508332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 NE WEIDLER ST APT 462",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972323460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 SW BROADWAY STE 350",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972053336",
            "telephone_number": "503-224-9513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIMM",
        "first_name": "ADRIAN",
        "middle_name": "RENE",
        "credential": "DC, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-13",
        "last_updated": "2018-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "44619",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5885",
            "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 Jul 31, 2018; 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.