PADILLA CHIROPRACTIC, LLC
NPI 1982492872
Chiropractor in Dallas, OR

Active since April 29, 2025
289 E ELLENDALE AVE STE 701, DALLAS, OR 97338(503) 967-8568 Get Directions Write a Review

NPPES record last updated: May 1, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Padilla Chiropractic, Llc NPPES

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

PADILLA CHIROPRACTIC, LLC (NPI 1982492872), doing business as Imago Dei Chiropractic And Family Wellness, is a healthcare organization registered as a chiropractor in Dallas, Oregon and active in the NPI registry since April 2025. The organization lists Wesley Kyle Padilla, Physician, as its authorized official.

NPPES Registry Identity

NPI1982492872
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NamePADILLA CHIROPRACTIC, LLC
Location Address289 E ELLENDALE AVE STE 701Dallas, OR 97338-1559
Mailing Address289 E Ellendale Ave Ste 701Dallas, OR 97338-1559 · (503) 967-8568
Organization SubpartNo
Authorized OfficialWesley Kyle PadillaPhysician · (503) 967-8568
Enumeration DateApril 29, 2025
Last NPPES UpdateMay 1, 2025
NPPES CertifiedMay 1, 2025
✔ NPI 1982492872 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.
289 E ELLENDALE AVE STE 701, Dallas, OR 97338

Other Names 1

Doing Business AsImago Dei Chiropractic And Family Wellness

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Padilla Chiropractic, 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 Padilla Chiropractic, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1992498323
289 E ELLENDALE AVE STE 701
Dallas, OR 97338
(503) 967-8568
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 Padilla Chiropractic, LLC's NPI number?

The NPI number for Padilla Chiropractic, LLC is 1982492872. It was assigned to this organization in the NPPES registry on April 29, 2025. The provider is doing business as Imago Dei Chiropractic and Family Wellness.

Where is Padilla Chiropractic, LLC located?

Padilla Chiropractic, LLC is located at 289 E Ellendale Ave Ste 701, Dallas, OR 97338. The listed phone number is (503) 967-8568.

What is Padilla Chiropractic, LLC's specialty?

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

Is Padilla Chiropractic, LLC enrolled in Medicare?

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

How many clinicians bill Medicare through Padilla Chiropractic, LLC?

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

When was this NPI record last updated?

The NPPES record for Padilla Chiropractic, LLC was last updated on May 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.