1. Home
  2. Directory
  3. Oregon
  4. Beaverton
  5. Chiropractor
  6. NPI Profile

CANYON ROAD CHIROPRACTIC & MASSAGE
NPI 1689892655
Chiropractor in Beaverton, OR

Active since April 23, 2007
12850 SW CANYON RD, BEAVERTON, OR 97005(503) 641-8000(503) 520-9159 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Canyon Road Chiropractic & Massage NPPES

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

CANYON ROAD CHIROPRACTIC & MASSAGE (NPI 1689892655) is a healthcare organization registered as a chiropractor in Beaverton, Oregon and active in the NPI registry since April 2007. The organization lists Donald Ray White, Chiropractor, as its authorized official.

NPPES Registry Identity

NPI1689892655
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameDON WHITE RN DC PC
Location Address12850 SW CANYON RDBeaverton, OR 97005-2166
Mailing Address12850 Sw Canyon RdBeaverton, OR 97005-2166 · (503) 641-8000 · Fax (503) 520-9159
Phone(503) 641-8000
Fax(503) 520-9159
Organization SubpartNo
Authorized OfficialDonald Ray WhiteChiropractor · (503) 641-8000
Enumeration DateApril 23, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1689892655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in OR · 272659
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.
12850 SW CANYON RD, Beaverton, OR 97005
Open in Google Maps ↗

Other Names 1

Doing Business AsCanyon Road Chiropractic & Massage

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

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Canyon Road Chiropractic & Massage is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateOregonEnrollment IDO20070619000465Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Canyon Road Chiropractic & Massage, which bills Medicare for the services this clinician delivers.

Clinician (1)

Donald White, DC, RN
Chiropractic
NPI 1912951534
12850 SW CANYON RD
Beaverton, OR 97005
(503) 641-8000
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 Don White Rn Dc PC's NPI number?

The NPI number for Don White Rn Dc PC is 1689892655. It was assigned to this organization in the NPPES registry on April 23, 2007. The provider is doing business as Canyon Road Chiropractic & Massage.

Where is Don White Rn Dc PC located?

Don White Rn Dc PC is located at 12850 SW Canyon Rd, Beaverton, OR 97005. The listed phone number is (503) 641-8000.

What is Don White Rn Dc PC's specialty?

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

Is Don White Rn Dc PC enrolled in Medicare?

Yes. Don White Rn Dc PC is registered in the Medicare PECOS enrollment system.

When is Don White Rn Dc PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Oregon, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Don White Rn Dc PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Don White Rn Dc 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.

When was this NPI record last updated?

The NPPES record for Don White Rn Dc PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.