PROFESSIONAL CHIROPRACTIC OFFICE LLC
NPI 1902075898
Chiropractor in Greeley, CO
About Professional Chiropractic Office Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PROFESSIONAL CHIROPRACTIC OFFICE LLC (NPI 1902075898) is a healthcare organization registered as a chiropractor in Greeley, Colorado and active in the NPI registry since February 2008. The organization holds a CLIA Waiver certificate valid through November 5, 2028 and lists Tanner Colby Johnson, Managing Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Professional Chiropractic Office Llc 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 Professional Chiropractic Office LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 06D2157433
Professional Chiropractic, LLC · Greeley, COFrequently 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 Professional Chiropractic Office LLC's NPI number?
The NPI number for Professional Chiropractic Office LLC is 1902075898. It was assigned to this organization in the NPPES registry on February 25, 2008.
Where is Professional Chiropractic Office LLC located?
Professional Chiropractic Office LLC is located at 1919 65th Ave Unit A, Greeley, CO 80634. The listed phone number is (970) 353-5300.
What is Professional Chiropractic Office LLC's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Professional Chiropractic Office LLC enrolled in Medicare?
Yes. Professional Chiropractic Office LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Professional Chiropractic Office LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Professional Chiropractic Office 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.
Does Professional Chiropractic Office LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 06D2157433) is associated with this NPI, valid through November 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Professional Chiropractic Office LLC was last updated on March 21, 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.
# Professional Chiropractic Office Llc · NPI 1902075898
Chiropractor organization in Greeley, Colorado. Organization record, active in the CMS NPPES registry since February 25, 2008.
## Identity
- **NPI:** 1902075898 (Entity type: Organization)
- **Enumerated:** February 25, 2008
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Tanner Johnson, MANAGING MEMBER
## Practice location
- **Address:** 1919 65TH AVE UNIT A, Greeley, CO 80634-7965
- **Phone:** (970) 353-5300 · **Fax:** (970) 353-5332
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Chiropractic) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 21, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1902075898) · Data from the CMS NPPES public registry.