Active NPI
John S Suto, D.C.
- Sports Physician Chiropractor
- Enterprise, OR
National Provider Identifier
1982654943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 3298OR
- Practice address
- 610 W North St
Enterprise, OR 97828-1427 - Phone
- (541) 426-3107
- Fax
- (541) 426-6437
- NPI assigned
- May 11, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 3298OR | OR | Primary |
Addresses
Primary practice location
610 W North St
Enterprise, OR 97828-1427
Mailing address
610 W North St
Enterprise, OR 97828-1427
Phone (541) 426-3107
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
610 W N St
Enterprise, OR 97828-1427
Phone 54142631071427
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3299 | OR | MD | Clinical Psychologist |
| 3298OR | OR | MD | Sports Physician Chiropractor |
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.
-
- Rehabilitation Chiropractor
- Enterprise, OR
- NPI 1770708505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557705600000",
"number": "1982654943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 W NORTH ST",
"city": "ENTERPRISE",
"state": "OR",
"postal_code": "978281427",
"telephone_number": "541-426-3107",
"fax_number": "541-426-6437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 W NORTH ST",
"city": "ENTERPRISE",
"state": "OR",
"postal_code": "978281427",
"telephone_number": "541-426-3107",
"fax_number": "541-426-6437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUTO",
"first_name": "JOHN",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-11",
"last_updated": "2019-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "OR",
"license": "3298OR",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Enterprise, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.