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MARY ANN TACK, DC
NPI 1942588785
Chiropractor in Newberg, OR

Active since July 27, 2011
901 BRUTSCHER ST STE 210, NEWBERG, OR 97132(503) 537-2052(503) 538-8315 Get Directions Write a Review

NPPES record last updated: June 19, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mary Ann Tack, Dc NPPES

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

MARY ANN TACK, DC (NPI 1942588785) is a healthcare organization registered as a chiropractor in Newberg, Oregon and active in the NPI registry since July 2011. The organization lists Mary Ann Tack, Chiropractor/owner, as its authorized official.

NPPES Registry Identity

NPI1942588785
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameLIFESTREAMS CHIROPRACTIC CENTER, LLC
Location Address901 BRUTSCHER ST STE 210Newberg, OR 97132-6094
Mailing Address901 Brutscher St Ste 210Newberg, OR 97132-6094 · (503) 537-2052 · Fax (503) 538-8315
Phone(503) 537-2052
Fax(503) 538-8315
Organization SubpartNo
Authorized OfficialMary Ann TackChiropractor/owner · (503) 537-2052
Enumeration DateJuly 27, 2011
Last NPPES UpdateJune 19, 2020
NPPES CertifiedJune 19, 2020
✔ NPI 1942588785 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 ListedClinic/CenterTaxonomy 261Q00000X · License 2863 (OR)
901 BRUTSCHER ST STE 210, Newberg, OR 97132
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Other Names 1

Other NameMary Ann Tack, Dc

Other Identifiers 2

Medicaid274833OR
Other0000QGHFPOR · Medicare Id Type Unspecified

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.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)

Mary Ann Tack, Dc 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 Mary Ann Tack, Dc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mary Ann Tack, D.C.
Chiropractic
NPI 1346347929
901 BRUTSCHER ST STE 210
Newberg, OR 97132
(503) 537-2052
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 Lifestreams Chiropractic Center, LLC's NPI number?

The NPI number for Lifestreams Chiropractic Center, LLC is 1942588785. It was assigned to this organization in the NPPES registry on July 27, 2011. The provider is also known as Mary Ann Tack, Dc.

Where is Lifestreams Chiropractic Center, LLC located?

Lifestreams Chiropractic Center, LLC is located at 901 Brutscher St Ste 210, Newberg, OR 97132. The listed phone number is (503) 537-2052.

What is Lifestreams Chiropractic Center, LLC's specialty?

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

Is Lifestreams Chiropractic Center, LLC enrolled in Medicare?

Yes. Lifestreams Chiropractic Center, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lifestreams Chiropractic Center, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Lifestreams Chiropractic Center, 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.

What insurance does Lifestreams Chiropractic Center, LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Lifestreams Chiropractic Center, LLC 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 Lifestreams Chiropractic Center, LLC was last updated on June 19, 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.