Active NPI
Michael Ahn, D.C., M.S., B.S.
- Chiropractor
- Aloha, OR
National Provider Identifier
1962949461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5790
- Practice address
- 19755 SW Tualatin Valley Hwy
Aloha, OR 97003-2338 - Phone
- (503) 430-5915
- NPI assigned
- Jan 23, 2017
- 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 | 5790 | OR | Primary |
Addresses
Primary practice location
19755 SW Tualatin Valley Hwy
Aloha, OR 97003-2338
Mailing address
15272 SW Millikan Way
Apt 432
Beaverton, OR 97003-6672
Phone (971) 275-4851
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5790 | Medicaid | OR |
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)
- Not enrolled
- Credentials
- Bachelor of Science, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5790 | OR | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duncan Health Centers LLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Aloha, OR
- NPI 1801332598
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485129600000",
"number": "1962949461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15272 SW MILLIKAN WAY",
"address_2": "APT 432",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970036672",
"telephone_number": "971-275-4851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19755 SW TUALATIN VALLEY HWY",
"city": "ALOHA",
"state": "OR",
"postal_code": "970032338",
"telephone_number": "503-430-5915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHN",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.C., M.S., B.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-01-23",
"last_updated": "2017-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "5790",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5790",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Aloha, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.