Active NPI
Michelle K Chard, DC
- Chiropractor
- Gresham, OR
National Provider Identifier
1952524951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 71 3725
- Practice address
- 837 E Powell Blvd
Gresham, OR 97030-7617 - Phone
- (503) 669-9495
- Fax
- (503) 669-8257
- NPI assigned
- Apr 10, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 71 3725 | OR | Primary |
Addresses
Primary practice location
837 E Powell Blvd
Gresham, OR 97030-7617
Mailing address
501 NE Hood Ave, Ste 205
Gresham, OR 97030
Phone (503) 674-7894
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100917001082 | OR | Practitioner - Chiropractic | 7810012507 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71 3725 | OR | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551312000000",
"number": "1952524951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 NE HOOD AVE, STE 205",
"city": "GRESHAM",
"state": "OR",
"postal_code": "97030",
"telephone_number": "503-674-7894",
"fax_number": "503-674-7899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "837 E POWELL BLVD",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970307617",
"telephone_number": "503-669-9495",
"fax_number": "503-669-8257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHARD",
"first_name": "MICHELLE",
"middle_name": "K",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-10",
"last_updated": "2019-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "71 3725",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gresham, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; 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.