Individual provider Active NPI

Myles Sinclair, DC, MS, BS

  • Chiropractor
  • Portland, OR
National Provider Identifier
1952931321
Registry record updated Jan 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6060 Issued in OR
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

Updated by the provider on Jan 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
6060ORMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Milwaukie Spine and Sport, LLC CurrentSince Oct 7, 2020 Accepting new patients
Pivot Health Acupuncture PastSince Jan 28, 2024 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.

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.

Verify at the official NPI Registry.