Active NPI
Shane E Espinoza, D.C. CCSP
- Sports Physician Chiropractor
- North Plains, OR
National Provider Identifier
1982602389
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Dec 20, 2017.
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 3450
- Practice address
- 10355 NW Glencoe Rd
Suite B
North Plains, OR 97133-8244 - Phone
- (503) 647-9944
- Fax
- (503) 447-5011
- NPI assigned
- Jul 9, 2005
- Reactivated
- Mar 30, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3450 | OR | |
| Sports Physician Chiropractor | 111NS0005X | 3450 | OR | Primary |
Addresses
Primary practice location
10355 NW Glencoe Rd
Suite B
North Plains, OR 97133-8244
Mailing address
10355 NW Glencoe Rd
Suite B
North Plains, OR 97133-8244
Phone (503) 647-9944
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3450 | OR | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257984000000",
"number": "1982602389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10355 NW GLENCOE RD",
"address_2": "SUITE B",
"city": "NORTH PLAINS",
"state": "OR",
"postal_code": "971338244",
"telephone_number": "503-647-9944",
"fax_number": "503-447-5011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10355 NW GLENCOE RD",
"address_2": "SUITE B",
"city": "NORTH PLAINS",
"state": "OR",
"postal_code": "971338244",
"telephone_number": "503-647-9944",
"fax_number": "503-447-5011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESPINOZA",
"first_name": "SHANE",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "D.C. CCSP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-09",
"last_updated": "2009-11-12",
"deactivation_date": "2006-03-16",
"reactivation_date": "2006-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "3450",
"primary": false
},
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "OR",
"license": "3450",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Plains, OR
- Claro Speech Therapy LLC
- Robert Lester Colpean III, LCSW
- Contour Chiropractic Clinic PC
- Jean Habecker Cuyler, RADIOLOGIC TECH
- Candace Louise Enslow, RDH
- Fabulous Healing Nutrition & Wellness LLC
- August Elaine Gannett
- Marion Lee Gardner Jr., MD
- Jessica Mae Garrison, DC
- Auzadeh Harvey, LPC, LPCC, MS, NCC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.