Oregon Sports and Family Chiropractic LLC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

5042 Issued in OR

Legal business name

OREGON SPORTS AND FAMILY CHIROPRACTIC LLC

Practice address

434 Villa Rd
Newberg, OR 97132-1855

Phone

(503) 554-0022

Fax

(503) 554-0033

NPI assigned

Jun 30, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. John Branden Garland, D.C., C.C.S.P.NPI 1841596236

Title

Doctor/Owner

Phone

(503) 554-0022

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Oregon Sports and Family Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Branden Garland, D.C., C.C.S.P.

  • Chiropractor
  • Newberg, OR
  • NPI 1841596236
  Medicare reassignment NPD Authorized official
• Ashley Graber, LMT

  • Massage Therapist
  • Newberg, OR
  • NPI 1376266528
  NPD
• Emily Juggert, LMT

  • Massage Therapist
  • Newberg, OR
  • NPI 1003692666
  NPD
• Amy Bang, DC

  • Chiropractor
  • Newberg, OR
  • NPI 1558296004
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1498780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645142400000",
    "number": "1013438829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 VILLA RD",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971321855",
            "telephone_number": "503-554-0022",
            "fax_number": "503-554-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 VILLA RD",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971321855",
            "telephone_number": "503-554-0022",
            "fax_number": "503-554-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON SPORTS AND FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-30",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A",
        "authorized_official_last_name": "GARLAND",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "BRANDEN",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "503-554-0022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., C.C.S.P."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "OR",
            "license": "5042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500756865",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oregon Sports and Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Oregon Clinic PC
• Oregon Eye Specialists,PC
• Oregon Institute of Behavioral Health
• Oregon Massage Clinic
• Oregon Massage Clinic
• Oregon Virtual PT LLC
• Ivan Ortega
• Susan Osborne, MT-BC
• Lynn Otto, LPC
• Amelia Wittwer Ouellette

• Sports Physician Chiropractor in Newberg, OR
• Providers in Newberg, OR by specialty
• Sports Physician Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.