MOLALLA SPINE & SPORT
NPI 1043491178
Chiropractor in Canby, OR

Active since November 16, 2007
130 SW 2ND AVE STE 101, CANBY, OR 97013(503) 263-3033(503) 263-3023 Get Directions Write a Review

NPPES record last updated: June 1, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Molalla Spine & Sport NPPES

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

MOLALLA SPINE & SPORT (NPI 1043491178) is a healthcare organization registered as a chiropractor in Canby, Oregon and active in the NPI registry since November 2007. The organization maintains a secondary practice location in Molalla and lists Michael Jay Vissers, President, as its authorized official.

NPPES Registry Identity

NPI1043491178
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameADVANCED HEALTH CENTER, LLC
Location Address130 SW 2ND AVE STE 101Canby, OR 97013-4156
Mailing Address130 Sw 2nd Ave Ste 101Canby, OR 97013-4156 · (503) 263-3033 · Fax (503) 263-3023
Fax(503) 263-3023
Organization SubpartNo
Authorized OfficialMichael Jay VissersPresident · (503) 263-3033
Enumeration DateNovember 16, 2007
Last NPPES UpdateJune 1, 2022
NPPES CertifiedJune 1, 2022
✔ NPI 1043491178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in OR · 273072
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.
130 SW 2ND AVE STE 101, Canby, OR 97013

Other Names 3

Doing Business AsMolalla Spine & Sport
Doing Business AsCanby Spine & Sport
Doing Business AsVissers Chiropractic

Secondary Practice Location 1

Location 1317 N Molalla AveMolalla, OR 97038-8840 · Phone (503) 829-6176 · Fax (503) 829-6178

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)

Molalla Spine & Sport is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Molalla Spine & Sport, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Chiropractic
NPI 1093843302
130 SW 2ND AVE STE 101
Canby, OR 97013
(503) 263-3033
Same address
Chiropractic
NPI 1043371958
317 N MOLALLA AVE
Molalla, OR 97038
(503) 829-6176
✔ Accepts Medicare9.6 mi
Chiropractic
NPI 1386843159
700 DEBORAH RD SUITE 270
Newberg, OR 97132
(503) 538-5433
✔ Accepts Medicare13 mi
Chiropractic
NPI 1235509498
8810 SE SUNNYBROOK BLVD STE. 100
Clackamas, OR 97015
(503) 607-2226
✔ Accepts Medicare13 mi
Chiropractic
NPI 1205343548
4959 PALO VERDE ST STE 100B
Montclair, CA 91763
(909) 626-7100
816 mi

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 Advanced Health Center, LLC's NPI number?

The NPI number for Advanced Health Center, LLC is 1043491178. It was assigned to this organization in the NPPES registry on November 16, 2007. The provider is doing business as Molalla Spine & Sport, Canby Spine & Sport and Vissers Chiropractic.

Where is Advanced Health Center, LLC located?

Advanced Health Center, LLC is located at 130 SW 2nd Ave Ste 101, Canby, OR 97013. The listed phone number is (503) 263-3033.

What is Advanced Health Center, LLC's specialty?

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

Is Advanced Health Center, LLC enrolled in Medicare?

Yes. Advanced Health Center, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Health Center, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Chiropractic, reassign their Medicare billing to Advanced Health Center, LLC. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Advanced Health Center, LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Advanced Health Center, LLC 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 Advanced Health Center, LLC was last updated on June 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.