ACCIDENT AND WELLNESS CHIROPRACTIC LLC
NPI 1053607721
Preferred Provider Organization in Portland, OR
NPI Status: Active since June 21, 2011
Contact Information
4124 SE 82ND AVE STE 700
PORTLAND, OR
ZIP 97266
Phone: (503) 206-8863
Fax: (503) 477-9113
- Organization
- Preferred Provider Organization
- Accepts Insurance
About ACCIDENT AND WELLNESS CHIROPRACTIC LLC
This page provides the complete NPI Profile along with additional information for Accident And Wellness Chiropractic Llc, a provider established in Portland, Oregon operating as a Preferred Provider Organization. The healthcare provider is registered in the NPI registry with number 1053607721 assigned on June 2011. The practitioner's primary taxonomy code is 305R00000X with license number 3866 (OR). The provider is registered as an organization and their NPI record was last updated April 2026. The provider's
- NPI
- 1053607721
- Provider Legal Name
- ACCIDENT AND WELLNESS CHIROPRACTIC LLC
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 4124 SE 82ND AVE STE 700 PORTLAND, OR 97266
- Location Phone
- (503) 206-8863
- Location Fax
- (503) 477-9113
- Mailing Address
- 4124 SE 82ND AVE STE 700 PORTLAND, OR 97266
- Mailing Phone
- (503) 206-8863
- Mailing Fax
- (503) 477-9113
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-21-2011
- Last Update Date
- 04-22-2026
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Preferred Provider Organization
- Taxonomy Code
- 305R00000X
- Type
- Managed Care Organizations
- License No.
- 3866
- License State
- OR
- Taxonomy Description
- A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 302R00000X | Managed Care Organizations | Health Maintenance Organization | 3866 (OR) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Moda Health Affinity Bronze 8000 - EPO
- Moda Health Affinity Bronze 9000 - EPO
- Moda Health Affinity Bronze HDHP 7500 - EPO
- Moda Health Affinity Gold 1000 - EPO
- Moda Health Affinity Gold 1500 - EPO
- Moda Health Affinity Gold 250 - EPO
- Moda Health Affinity Silver 3000 - EPO
- Moda Health Affinity Silver 3400 - EPO
- Moda Health Affinity Silver 4500 - EPO
- Moda Health Affinity Silver 6000 - EPO
- Moda Health Oregon Standard Bronze Affinity - EPO
- Moda Health Oregon Standard Gold Affinity - EPO
- Moda Health Oregon Standard Silver Affinity - EPO
- Moda Select Alaska Bronze 6500 - PPO
- Moda Select Alaska Bronze HDHP 5500 - PPO
- Moda Select Alaska Gold 1500 - PPO
- Moda Select Alaska Silver 4500 - PPO
- Moda Select Alaska Standard Bronze - PPO
- Moda Select Alaska Standard Gold - PPO
- Moda Select Alaska Standard Silver - PPO
- Bronze Essential 9000 With 4 Copay No Deductible Office Visits Legacy - EPO
- Gold 2300 Legacy - EPO
- Regence Standard Bronze Plan Legacy - EPO
- Regence Standard Gold Plan Legacy - EPO
- Regence Standard Silver Plan Legacy - EPO
- Silver 6500 Legacy - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 500859689 | MEDICAID (05) | OR |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1053607721, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 49 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053607721, enumerated as an "organization" on June 21, 2011.
The provider is located at 4124 SE 82ND AVE STE 700 PORTLAND, OR 97266 and the phone number is (503) 206-8863.
Preferred Provider Organization with taxonomy code 305R00000X.
The provider might be accepting Accepts: Moda Health Plan, Inc., Regence BlueCross. Please consult your insurance carrier or call the provider to verify.
