ACTIVE FAMILY CHIROPRACTIC
NPI 1104221530
Chiropractor - Sports Physician in Gresham, OR
NPI Status: Active since October 28, 2014
Contact Information
501 NE HOOD AVE
SUITE 205
GRESHAM, OR
ZIP 97030
Phone: (503) 674-7894
Fax: (503) 674-7899
- Organization
- Chiropractor
- Sports Physician
- Accepts Insurance
About ACTIVE FAMILY CHIROPRACTIC
This page provides the complete NPI Profile along with additional information for Active Family Chiropractic, a provider established in Gresham, Oregon operating as a Chiropractor, focusing in sports physician . The healthcare provider is registered in the NPI registry with number 1104221530 assigned on October 2014. The practitioner's primary taxonomy code is 111NS0005X with license number 3666 (OR). The provider is registered as an organization and their NPI record was last updated 12 years ago. Active Family Chiropractic operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Active Family Chiropractic. The authorized official of this NPI record is Dr. Michelle K Waggoner Dc (President)
- NPI
- 1104221530
- Provider Legal Name
- ACTIVE FAMILY CHIROPRACTIC, LLC
- Other Organization Name
- ACTIVE FAMILY CHIROPRACTIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 501 NE HOOD AVE SUITE 205 GRESHAM, OR 97030
- Location Phone
- (503) 674-7894
- Location Fax
- (503) 674-7899
- Mailing Address
- 501 NE HOOD AVE SUITE 205 GRESHAM, OR 97030
- Mailing Phone
- (503) 674-7894
- Mailing Fax
- (503) 674-7899
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-28-2014
- Last Update Date
- 10-28-2014
- Code Navigator
A chiropractor like Active Family Chiropractic helps patients with problems of the neuromusculoskeletal system, which includes nerves, bones, muscles, ligaments, and tendons. Chiropractors use spinal adjustments and manipulation, as well as other clinical interventions, to manage health issues such as back and neck pain. Some chiropractors apply procedures like massage therapy, rehabilitative exercise, ultrasound and spinal adjustments and manipulation. A chiropractor focuses on the patients overall health and might refer patients to other healthcare professionals if necessary.
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
Chiropractor Sports Physician
- Taxonomy Code
- 111NS0005X
- Type
- Chiropractic Providers
- License No.
- 3666
- License State
- OR
- Taxonomy Description
- A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.
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 | 111NP0017X | Chiropractic Providers | Chiropractor | 3725 (OR) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BridgeSpan Standard Bronze Plan - EPO
- BridgeSpan Standard Gold Plan - EPO
- BridgeSpan Standard Silver Plan - EPO
- Bronze Essential 9000 With 4 Copay No Deductible Office Visits Individual Connect - EPO
- Bronze Essential 9000 With 4 Copay No Deductible Office Visits Legacy - EPO
- Bronze HSA 7000 Individual Connect - EPO
- Gold 2300 Individual Connect - EPO
- Gold 2300 Legacy - EPO
- Regence Standard Bronze Plan Individual Connect - EPO
- Regence Standard Bronze Plan Legacy - EPO
- Regence Standard Gold Plan Individual Connect - EPO
- Regence Standard Gold Plan Legacy - EPO
- Regence Standard Silver Plan Individual Connect - EPO
- Regence Standard Silver Plan Legacy - EPO
- Silver 6500 Individual Connect - EPO
- Silver 6500 Legacy - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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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 1104221530, we treat the final digit (0) 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 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).
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 50 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 10 providers are registered at the same or a nearby location.
GRESHAM, OR 97030
GRESHAM, OR 97030
GRESHAM, OR 97030
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104221530, enumerated as an "organization" on October 28, 2014.
The provider is located at 501 NE HOOD AVE SUITE 205 GRESHAM, OR 97030 and the phone number is (503) 674-7894.
Chiropractor with taxonomy code 111NS0005X and a focus in Sports Physician.
The provider might be accepting Accepts: BridgeSpan Health Company and Regence BlueCross. Please consult your insurance carrier or call the provider to verify.
