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DR. GARY A. JOHNSON D.C.
NPI 1033268404
Chiropractor in Gresham, OR

Active since January 08, 2007
417 E POWELL BLVD, GRESHAM, OR 97030(503) 665-2517(503) 667-3239 Get Directions Write a Review

NPPES record last updated: November 16, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Gary A. Johnson D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GARY A. JOHNSON D.C. (NPI 1033268404) is an individual chiropractor in Gresham, Oregon, licensed in Oregon (22894) and active in the NPI registry since January 2007. He is a graduate of Western States College Of Chiropractic (1983).

NPPES Registry Identity

NPI1033268404
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. GARY A. JOHNSONCredential: D.C.
Location Address417 E POWELL BLVDGresham, OR 97030-7609
Mailing Address417 E Powell BlvdGresham, OR 97030-7609 · (503) 665-2517 · Fax (503) 667-3239
Phone(503) 665-2517
Fax(503) 667-3239
Sole ProprietorNo
Medical School CMSWestern States College Of ChiropracticGraduated 1983
Enumeration DateJanuary 8, 2007
Last NPPES UpdateNovember 16, 2007
✔ NPI 1033268404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in OR · 22894
Definition
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.
Also ListedChiropractor · Sports PhysicianTaxonomy 111NS0005X · License 22894 (OR)
417 E POWELL BLVD, Gresham, OR 97030
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan, Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gary A. Johnson D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5496931214
PECOS Enrollment IDI20120125000935

Medicare Billing Reassignment

Medicare enrollment records show Gary Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Johnson Chiropractic Clinic PC
Same address
Chiropractor
417 E POWELL BLVD
Gresham, OR 97030
  • Reassigned Medicare billing, Oregon enrollment
NPI 1659554632 (503) 665-2517

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
571 services42 patients

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEATHER R KLANN LMT
Massage Therapist
417 E POWELL BLVD
GRESHAM, OR 97030
Multnomah County (503) 515-5688
KIRSTIN CARD LMT
Massage Therapist
417 E POWELL BLVD
GRESHAM, OR 97030
Multnomah County (503) 660-8338
JOHNSON CHIROPRACTIC CLINIC PC
Chiropractor
417 E POWELL BLVD
GRESHAM, OR 97030
Multnomah County (503) 665-2517
VICKIE LEE STODDARD LMT
Massage Therapist
417 E POWELL BLVD
GRESHAM, OR 97030
Multnomah County (503) 869-0700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gary Johnson's NPI number?

The NPI number for Gary Johnson is 1033268404. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Where is Gary Johnson located?

Gary Johnson practices at 417 E Powell Blvd, Gresham, OR 97030. The listed phone number is (503) 665-2517.

What is Gary Johnson's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Gary Johnson enrolled in Medicare?

Yes. Gary Johnson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Gary Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gary Johnson reassigns Medicare benefits to Johnson Chiropractic Clinic PC (Gresham, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gary Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gary Johnson accept?

Health plans from Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Gary Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gary Johnson was last updated on November 16, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.