BEACON CHIROPRACTIC CO
NPI 1699199109
Chiropractor in Vancouver, WA

Active since February 05, 2014
11500 NE 119TH ST STE 104, VANCOUVER, WA 98662(360) 326-3396(360) 369-0015 Get Directions Write a Review

NPPES record last updated: August 17, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 17, 2023, Feb 16, 2023, Nov 9, 2022 (3 updates tracked since 2022).

About Beacon Chiropractic Co NPPES

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

BEACON CHIROPRACTIC CO (NPI 1699199109) is a healthcare organization registered as a chiropractor in Vancouver, Washington and active in the NPI registry since February 2014. The organization lists David Isaac Johnson, Ceo, Chiropractor, as its authorized official.

NPPES Registry Identity

NPI1699199109
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameBEACON CHIROPRACTIC CO
Location Address11500 NE 119TH ST STE 104Vancouver, WA 98662-1643
Mailing Address11500 Ne 119th St Ste 104Vancouver, WA 98662-1643 · (360) 326-3396 · Fax (360) 369-0015
Fax(360) 369-0015
Organization SubpartNo
Authorized OfficialDavid Isaac JohnsonCeo, Chiropractor · (360) 326-3396
Enumeration DateFebruary 5, 2014
Last NPPES UpdateAugust 17, 20233 updates tracked since enumeration
NPPES CertifiedAugust 17, 2023
✔ NPI 1699199109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedMassage TherapistTaxonomy 225700000X
11500 NE 119TH ST STE 104, Vancouver, WA 98662

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

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

Clinician (1)

Chiropractic
NPI 1003238148
11500 NE 119TH ST STE 104
Vancouver, WA 98662
(360) 326-3396
✔ Accepts MedicareSame 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 Beacon Chiropractic Co's NPI number?

The NPI number for Beacon Chiropractic Co is 1699199109. It was assigned to this organization in the NPPES registry on February 5, 2014.

Where is Beacon Chiropractic Co located?

Beacon Chiropractic Co is located at 11500 NE 119th St Ste 104, Vancouver, WA 98662. The listed phone number is (360) 326-3396.

What is Beacon Chiropractic Co's specialty?

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

Is Beacon Chiropractic Co enrolled in Medicare?

Yes. Beacon Chiropractic Co is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Beacon Chiropractic Co?

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

Health plans from Moda Health Plan, Inc. list Beacon Chiropractic Co 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 Beacon Chiropractic Co was last updated on August 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.