Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1295042307 Individual Practitioner Male Practitioner

Dr. Daniel Suppnick , DC

Chiropractor • Tigard, OR

Professional Overview & Biography Verified Profile Summary

Dr. Daniel Suppnick, DC is a registered healthcare professional specializing in Chiropractor in Tigard, OR. Practice services are available at 12405 SW MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12405 Sw Main St

Tigard, OR 972236109

Telephone 5036204880
Associated Practice Facility / Clinic
🏢 Terrance E. Erdman D.c, P.c. Facility NPI 1255504544

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Tigard, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.6 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
54 Specialists

Practicing in Tigard, OR (1950 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License OR 4034

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Susan Lester , LMT

Massage Therapist

NPI 1184113904

Licensed Massage Therapist

NPI 1295939247

Doctor of Chiropractic

Dorothy Smith , LMT

Massage Therapist

NPI 1659719466

Licensed Massage Therapist

Christine Huff

Massage Therapist

NPI 1962797803

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 10, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location September 10, 2010

Registered at 12405 SW MAIN ST, TIGARD, OR 972236109 (Tel: 5036204880)

📍
Updated Business Mailing Address September 10, 2010

Registered at 12405 SW MAIN ST, TIGARD, OR 972236109 (Tel: 5036204880)

👤
Provider Name / Credentials Updated September 10, 2010

Recorded as DANIEL SUPPNICK, D.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 10, 2010

Chiropractor (License #4034 in OR)

🟢
Initial NPI Registration & Enumeration September 10, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1295042307
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 10, 2010
Last Update: September 10, 2010
Sole Proprietor: Yes

Mailing Address

12405 Sw Main St

Tigard, OR 972236109

Phone: 5036204880

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.