NPIMap

Organization Active NPI

Straight Up Chiropractic

  • Health Service Clinic/Center
  • Tigard, OR
National Provider Identifier
1932579661
Registry record updated Dec 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
5126 Issued in OR
Legal business name
STRAIGHT UP CHIROPRACTIC
Practice address
12700 SW North Dakota St
Ste 180
Tigard, OR 97223-0802
Phone
(503) 716-8281
Fax
(503) 716-8783
NPI assigned
Oct 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2015

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

Authorized official

Name
Dr. Halsy James Carter, D.C.NPI 1376883728
Title
Owner
Phone
(503) 716-8281

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 5126 OR Primary

Addresses

Primary practice location

12700 SW North Dakota St
Ste 180
Tigard, OR 97223-0802

Mailing address

12700 SW North Dakota St
Ste 180
Tigard, OR 97223-3276
Phone (503) 716-8281

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151113002022 OR Part B Supplier - Clinic/Group Practice 5092025437 Receives reassigned benefits from 3 practitioners
Practice locations: Tigard, OR

National Provider Directory

National Provider Directory

Locations

12700 SW North Dakota St
Ste 180
Tigard, OR 97223
Phone (503) 716-8281

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448928000000",
    "number": "1932579661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12700 SW NORTH DAKOTA ST",
            "address_2": "STE 180",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972233276",
            "telephone_number": "503-716-8281",
            "fax_number": "503-716-8783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12700 SW NORTH DAKOTA ST",
            "address_2": "STE 180",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972230802",
            "telephone_number": "503-716-8281",
            "fax_number": "503-716-8783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRAIGHT UP CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-07",
        "last_updated": "2015-12-01",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "HALSY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-716-8281",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "OR",
            "license": "5126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2015; 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.