JOHNSON CHIROPRACTIC CLINIC PC
NPI 1659554632
Chiropractor in Gresham, OR

Active since December 12, 2007
417 E POWELL BLVD, GRESHAM, OR 97030(503) 665-2517 Get Directions Write a Review

NPPES record last updated: December 12, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Johnson Chiropractic Clinic Pc NPPES

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

JOHNSON CHIROPRACTIC CLINIC PC (NPI 1659554632) is a healthcare organization registered as a chiropractor in Gresham, Oregon and active in the NPI registry since December 2007. The organization lists Gary A. Johnson, President/owner, as its authorized official.

NPPES Registry Identity

NPI1659554632
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameJOHNSON CHIROPRACTIC CLINIC PC
Location Address417 E POWELL BLVDGresham, OR 97030-7609
Mailing Address417 E Powell BlvdGresham, OR 97030-7609 · (503) 665-2517
Organization SubpartNo
Authorized OfficialGary A. JohnsonPresident/owner · (503) 665-2517
Enumeration DateDecember 12, 2007
✔ NPI 1659554632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
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.
417 E POWELL BLVD, Gresham, OR 97030

Other Identifiers 1

Medicare PIN0000WCKBWOR

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)

Johnson Chiropractic Clinic Pc 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 Johnson Chiropractic Clinic PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1033268404
417 E POWELL BLVD
Gresham, OR 97030
(503) 665-2517
Same address

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 Johnson Chiropractic Clinic PC's NPI number?

The NPI number for Johnson Chiropractic Clinic PC is 1659554632. It was assigned to this organization in the NPPES registry on December 12, 2007.

Where is Johnson Chiropractic Clinic PC located?

Johnson Chiropractic Clinic PC is located at 417 E Powell Blvd, Gresham, OR 97030. The listed phone number is (503) 665-2517.

What is Johnson Chiropractic Clinic PC's specialty?

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

Is Johnson Chiropractic Clinic PC enrolled in Medicare?

Yes. Johnson Chiropractic Clinic PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Johnson Chiropractic Clinic PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Johnson Chiropractic Clinic PC. 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 Johnson Chiropractic Clinic PC accept?

Health plans from Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Johnson Chiropractic Clinic PC 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 Johnson Chiropractic Clinic PC was last updated on December 12, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.