STATELINE CHIROPRACTIC
NPI 1104342567
Chiropractor in Milton Freewater, OR

Q: What is K. C. Chiropractic LLC's NPI number?

The NPI number for K. C. Chiropractic LLC is 1104342567. It was assigned to this organization in the NPPES registry on August 17, 2017. The provider is doing business as Stateline Chiropractic.

Q: What is K. C. Chiropractic LLC's specialty?

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

Active since August 17, 2017

85458 HIGHWAY 11, MILTON FREEWATER, OR 97862(541) 938-8300(541) 938-3424 Get Directions Write a Review

NPPES record last updated: August 17, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Stateline Chiropractic NPPES

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

STATELINE CHIROPRACTIC (NPI 1104342567) is a healthcare organization registered as a chiropractor in Milton Freewater, Oregon and active in the NPI registry since August 2017. The organization lists Chad Edward Smith, Owner, as its authorized official.

NPPES Registry Identity

NPI1104342567

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameK. C. CHIROPRACTIC LLC

Location Address85458 HIGHWAY 11Milton Freewater, OR 97862-7309

Mailing Address85458 Highway 11Milton Freewater, OR 97862-7309 · (541) 938-8300 · Fax (541) 938-3424

Phone(541) 938-8300

Fax(541) 938-3424

Organization SubpartNo

Authorized OfficialChad Edward SmithOwner · (541) 938-8300

Enumeration DateAugust 17, 2017

✔ NPI 1104342567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in OR · 4101

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.

85458 HIGHWAY 11, Milton Freewater, OR 97862

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Other Names 1

Doing Business AsStateline Chiropractic

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

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

Stateline Chiropractic 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 Stateline Chiropractic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chad Smith, D.C.

Chiropractic

NPI 1134411556

85458 HIGHWAY 11
Milton Freewater, OR 97862

(541) 938-8300

0.1 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 K. C. Chiropractic LLC's NPI number?

The NPI number for K. C. Chiropractic LLC is 1104342567. It was assigned to this organization in the NPPES registry on August 17, 2017. The provider is doing business as Stateline Chiropractic.

Where is K. C. Chiropractic LLC located?

K. C. Chiropractic LLC is located at 85458 Highway 11, Milton Freewater, OR 97862. The listed phone number is (541) 938-8300.

What is K. C. Chiropractic LLC's specialty?

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

Is K. C. Chiropractic LLC enrolled in Medicare?

Yes. K. C. Chiropractic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through K. C. Chiropractic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to K. C. Chiropractic 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does K. C. Chiropractic LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list K. C. Chiropractic 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 K. C. Chiropractic LLC was last updated on August 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.