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JONATHAN KEVIN CRUZ DC
NPI 1437930963
Chiropractor in Lake Oswego, OR

Active since October 10, 2023
4847 MEADOWS RD STE 153, LAKE OSWEGO, OR 97035(971) 330-8578 Get Directions Write a Review

NPPES record last updated: November 28, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jonathan Kevin Cruz Dc NPPES

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

JONATHAN KEVIN CRUZ DC (NPI 1437930963) is an individual chiropractor in Lake Oswego, Oregon, licensed in Oregon (6335) and active in the NPI registry since October 2023. He maintains a secondary practice location in Oregon City and is a graduate of Other (2023).

NPPES Registry Identity

NPI1437930963
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameJONATHAN KEVIN CRUZCredential: DC
Location Address4847 MEADOWS RD STE 153Lake Oswego, OR 97035-2626
Mailing Address1905 Main St Apt 302Oregon City, OR 97045-1074 · (541) 232-6479
Phone(971) 330-8578
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 10, 2023
Last NPPES UpdateNovember 28, 2023
NPPES CertifiedNovember 28, 2023
✔ NPI 1437930963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in OR · 6335
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.
4847 MEADOWS RD STE 153, Lake Oswego, OR 97035
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Secondary Practice Location 1

Location 11905 Main St Apt 302Oregon City, OR 97045-1074 · Phone (541) 232-6479

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jonathan Kevin Cruz Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2062857980
PECOS Enrollment IDI20240301002315

Medicare Billing Reassignment

Medicare enrollment records show Jonathan Cruz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Asula Chiropractic And Wellness Center, Inc.
8.1 mi
Chiropractor
818 NW MARSHALL
Portland, OR 97209
  • Reassigned Medicare billing, Oregon enrollment
  • 10 clinicians in this Medicare group
NPI 1245474956 (503) 719-5335

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

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BREANNA HILTON LMT
Massage Therapist
4847 MEADOWS RD STE 153
LAKE OSWEGO, OR 97035
Clackamas County (971) 330-8578
JONATHAN RUSSELL HAKALA
Massage Therapist
4847 MEADOWS RD STE 153
LAKE OSWEGO, OR 97035
Clackamas County (971) 330-8578
JENAE MICHELLE SUMMEROUR LMT
Acupuncturist
4847 MEADOWS RD STE 153
LAKE OSWEGO, OR 97035
Clackamas County (971) 330-8578
EMILEE ANN HAYS
Massage Therapist
4847 MEADOWS RD STE 153
LAKE OSWEGO, OR 97035
Clackamas County (971) 330-8578
DELANEY MARIE COSTELLO GETTEL DC
Chiropractor
4847 MEADOWS RD STE 153
LAKE OSWEGO, OR 97035
Clackamas County (971) 330-8578

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 Jonathan Cruz's NPI number?

The NPI number for Jonathan Cruz is 1437930963. It was assigned to this individual provider in the NPPES registry on October 10, 2023.

Where is Jonathan Cruz located?

Jonathan Cruz practices at 4847 Meadows Rd Ste 153, Lake Oswego, OR 97035. The listed phone number is (971) 330-8578.

What is Jonathan Cruz's specialty?

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

Is Jonathan Cruz enrolled in Medicare?

Yes. Jonathan Cruz is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jonathan Cruz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Cruz reassigns Medicare benefits to Asula Chiropractic And Wellness Center, Inc. (Portland, OR). The 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 Jonathan Cruz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jonathan Cruz accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Jonathan Cruz 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 Jonathan Cruz was last updated on November 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.