Individual provider Active NPI

Nicholas Ryan McBride, D.C.

  • Chiropractor
  • Portland, OR
National Provider Identifier
1992028435
Registry record updated Mar 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4112 Issued in OR
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

Updated by the provider on Mar 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4112OtherORCHIROPRACTIC LISCENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211223000923 OR Practitioner - Chiropractic 0840327391 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
4112ORMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Pioneer Chiropractic & Wellness Chiropractor CurrentSince Oct 25, 2021 Accepting new patients
Pioneer Chiropractic and Wellness Past Accepting new patients
Meadows Family Chiropractic Inc. Chiropractor PastSince Jan 1, 2004 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.

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.

Verify at the official NPI Registry.