Active NPI
Nicholas Ryan McBride, D.C.
- Chiropractor
- Portland, OR
National Provider Identifier
1992028435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4112
- Practice address
- 715 SW Morrison St
Suite 912
Portland, OR 97205-3122 - Phone
- (503) 488-5485
- Fax
- (503) 488-5834
- NPI assigned
- Mar 11, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 | 4112 | OR | Primary |
Addresses
Primary practice location
715 SW Morrison St
Suite 912
Portland, OR 97205-3122
Mailing address
715 SW Morrison St
Suite 912
Portland, OR 97205-3122
Phone (503) 488-5485
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4112 | Other | OR | CHIROPRACTIC LISCENSE |
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
- Western States College of Chiropractic, 2009
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
7340 SW Hunziker Rd
Suite 101
Tigard, OR 97223-2303
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4112 | OR | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pioneer Chiropractic & Wellness | Chiropractor | Current | Accepting new patients |
| Pioneer Chiropractic and Wellness | Past | Accepting new patients | |
| Meadows Family Chiropractic Inc. | Chiropractor | Past | Accepting new patients |
Locations
7340 SW Hunziker Rd
Tigard, OR 97223
Phone (971) 393-7765
7340 SW Hunziker Rd
Ste 101
Tigard, OR 97223
Phone (503) 488-5485
Organizations & group practices 3
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
- Tigard, OR
- NPI 1518621853
-
- Clinic/Center
- Portland, OR
- NPI 1801115019
-
- Chiropractor
- Kirkland, WA
- NPI 1962572446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330905600000",
"number": "1992028435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "715 SW MORRISON ST",
"address_2": "SUITE 912",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972053122",
"telephone_number": "503-488-5485",
"fax_number": "503-488-5834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 SW MORRISON ST",
"address_2": "SUITE 912",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972053122",
"telephone_number": "503-488-5485",
"fax_number": "503-488-5834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCBRIDE",
"first_name": "NICHOLAS",
"middle_name": "RYAN",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-03-11",
"last_updated": "2012-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "4112",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHIROPRACTIC LISCENSE",
"identifier": "4112",
"state": "OR"
}
],
"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 Mar 5, 2012; 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.