Active NPI
Myles Sinclair, DC, MS, BS
- Chiropractor
- Portland, OR
National Provider Identifier
1952931321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6060
- Practice address
- 2100 SE Lake Rd Ste 1
Portland, OR 97222-7759 - Phone
- (503) 344-6711
- NPI assigned
- Jan 24, 2020
- Sex
- Male
- 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 | 6060 | OR | Primary |
Addresses
Primary practice location
2100 SE Lake Rd Ste 1
Portland, OR 97222-7759
Mailing address
4108 N Haight Ave
Portland, OR 97217-2920
Phone (503) 438-6126
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
- Bachelor of Science, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6060 | OR | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Milwaukie Spine and Sport, LLC | Current | Accepting new patients | |
| Pivot Health Acupuncture | Past | Accepting new patients |
Locations
2100 SE Lake Rd
Ste 1
Portland, OR 97222
Phone (503) 344-6711
Organizations & group practices 2
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.
-
- Health Service Clinic/Center
- Milwaukie, OR
- NPI 1679850010
-
- Acupuncturist
- Clackamas, OR
- NPI 1184040255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579824000000",
"number": "1952931321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4108 N HAIGHT AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972172920",
"telephone_number": "503-438-6126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 SE LAKE RD STE 1",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972227759",
"telephone_number": "503-344-6711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SINCLAIR",
"first_name": "MYLES",
"name_prefix": "Dr.",
"credential": "DC, MS, BS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-01-24",
"last_updated": "2020-01-24",
"certification_date": "2020-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "6060",
"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 Jan 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.