ACTIVE WELLNESS CHIROPRACTIC,PC
NPI 1033518600
Chiropractor in Portland, OR

Active since August 19, 2014
1815 SW MARLOW AVE, SUITE 206, PORTLAND, OR 97225(503) 789-1014(877) 985-9111 Get Directions Write a Review

NPPES record last updated: August 19, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Active Wellness Chiropractic,pc NPPES

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

ACTIVE WELLNESS CHIROPRACTIC,PC (NPI 1033518600) is a healthcare organization registered as a chiropractor in Portland, Oregon and active in the NPI registry since August 2014. The organization lists Megan Dejana, Ceo, as its authorized official.

NPPES Registry Identity

NPI1033518600
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameACTIVE WELLNESS CHIROPRACTIC,PC
Location Address1815 SW MARLOW AVE, SUITE 206Portland, OR 97225-5185
Mailing Address1815 Sw Marlow Ave, Suite 206Portland, OR 97225-5185 · (503) 789-1014 · Fax (877) 985-9111
Fax(877) 985-9111
Organization SubpartNo
Authorized OfficialMegan DejanaCeo · (503) 789-1014
Enumeration DateAugust 19, 2014
✔ NPI 1033518600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in OR · 3632
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.
1815 SW MARLOW AVE, Portland, OR 97225

Other Identifiers 1

Other1871506600OR · Npi Type 1

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Active Wellness Chiropractic,pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Active Wellness Chiropractic,pc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1871506600
1815 SW MARLOW AVE SUITE 206
Portland, OR 97225
(503) 789-1014
Same address

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

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 Active Wellness Chiropractic,pc's NPI number?

The NPI number for Active Wellness Chiropractic,pc is 1033518600. It was assigned to this organization in the NPPES registry on August 19, 2014.

Where is Active Wellness Chiropractic,pc located?

Active Wellness Chiropractic,pc is located at 1815 SW Marlow Ave Suite 206, Portland, OR 97225. The listed phone number is (503) 789-1014.

What is Active Wellness Chiropractic,pc's specialty?

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

Is Active Wellness Chiropractic,pc enrolled in Medicare?

Yes. Active Wellness Chiropractic,pc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Active Wellness Chiropractic,pc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Active Wellness Chiropractic,pc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Active Wellness Chiropractic,pc accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Active Wellness Chiropractic,pc 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 Active Wellness Chiropractic,pc was last updated on August 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.