DR. PATRICK T PRENTICE (NPI# 1275021149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275021149 |
| Entity Type | Individual |
| Full Name | DR. PATRICK T PRENTICE |
| Credential | D.C. |
| Practice Address |
27 Nw Lake Pl Ste 101 Bend OR 97703-2901 |
| Practice Telephone | 5417976530 |
| Mailing Telephone | 5417976530 |
| Mailing Fax Number | 3604591216 |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2020-10-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 5988 | OR | Chiropractic Providers |
| Street Address |
27 NW LAKE PL STE 101 |
| City | BEND |
| State | OR |
| Zip Code | 97703-2901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447867866 | Prentice Chiropractic LLC | Chiropractor | 27 Nw Lake Pl Ste 101, Bend, OR 97703-2901 | 2020-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285250704 | Elizabeth Jane Lindt | Counselor | 63311 Jamison Street, Bend, OR 97703 | 2020-06-20 |
| 1790318145 | Leah Alice Williamson | Counselor | 118 Nw Thurston Ave, Bend, OR 97703 | 2020-02-13 |
| 1831658301 | Pretty Moments Lingerie, LLC | Durable Medical Equipment & Medical Supplies | 63455 N Hwy 97 Suite 44, Bend, OR 97703 | 2019-03-14 |
| 1821561150 | Kevin Hallmeyer | Chiropractor | 750 Nw Charbonneau St., Suite 101, Bend, OR 97703 | 2019-01-09 |
| 1346743267 | Jesse Maggie Mae Abraham | Massage Therapist | 39 Nw Lousiana Ave, Bend, OR 97703 | 2018-03-16 |
| 1891202396 | Jerod Paul Michael | Speech-Language Pathologist | 2736 Nw Crossing Dr, Ste. 120, Bend, OR 97703 | 2018-01-05 |
| 1952823023 | Dan Packman | Massage Therapist | 2955 N. Hwy 97, Ste 105, Riverside Wellness, Voila Massage, Bend, OR 97703 | 2017-07-11 |
| 1023460102 | Brennon Patrick Moore | Counselor | 835 Nw Bond St Ste 100, Bend, OR 97703 | 2016-07-12 |
| 1093160269 | Eric Hinds | Optometrist | 63455 N Highway 97 Ste 75, Bend, OR 97703 | 2016-04-25 |
| 1417316191 | Ronald Guiley Od, Mph, PC | Clinic/Center | 63455 N Hwy 97, Ste 75, Bend, OR 97703 | 2016-02-23 |
| Find all providers in zip 97703 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609436104 | Colton H Pope | Chiropractor | 225 Nw Franklin Ave, Bend, OR 97703-2867 | 2019-06-17 |
| 1821561150 | Kevin Hallmeyer | Chiropractor | 750 Nw Charbonneau St., Suite 101, Bend, OR 97703 | 2019-01-09 |
| 1871063917 | Calley Asbill, Nd LLC | Chiropractor | 2146 Ne 4th Street, Suite 160, Bend, OR 97701 | 2018-12-02 |
| 1669984431 | Jessica Goyke | Chiropractor | 1850 Ne Lotus Dr Apt 33, Bend, OR 97701-6154 | 2017-11-01 |
| 1578073060 | Eternal Health Chiropractic | Chiropractor | 300 Sw Columbia St Ste 104, Bend, OR 97702-1175 | 2017-10-10 |
| 1992255327 | Shelby Chiropractic | Chiropractor | 561 Ne Bellevue Dr Ste 102, Bend, OR 97701 | 2016-10-10 |
| 1104271063 | Holbrook Enterprise Inc. | Chiropractor | 598 Nw Hill St Ste B, Bend, OR 97703-2970 | 2016-04-28 |
| 1639532401 | Marie Rudback | Chiropractor | 2275 Ne Doctors Dr Ste 11, Bend, OR 97701-6324 | 2016-03-30 |
| 1205205895 | Signy Erickson | Chiropractor | 1334 Ne Revere Ave, Bend, OR 97701-4154 | 2015-09-24 |
| 1184002313 | Chiropractic Family Health Care, PC | Chiropractor | 1245 Se 3rd St Ste A2, Bend, OR 97702-2162 | 2015-05-07 |
| Find all providers in BEND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.