Organization Active NPI

Ontario Chiropractic, LLC

  • Chiropractor
  • Ontario, OR
National Provider Identifier
1104018043
Registry record updated May 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ONTARIO CHIROPRACTIC, LLC
Practice address
200 SW 2ND Ave
Ontario, OR 97914-2718
Phone
(541) 889-7797
Fax
(541) 889-3835
NPI assigned
Aug 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2025

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

Authorized official

Name
Dr. Hilary Bjornson, D.C.NPI 1770667347
Title
Owner
Phone
(541) 889-7797

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

200 SW 2ND Ave
Ontario, OR 97914-2718

Mailing address

200 SW 2ND Ave
Ontario, OR 97914-2718
Phone (541) 889-7797

Other identifiers 1

IdentifierTypeStateIssuer
025488003OtherORBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150601002770 OR Part B Supplier - Clinic/Group Practice 7911228028 Receives reassigned benefits from 2 practitioners
Practice locations: Ontario, OR

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D2304231Ontario Chiropractic LLC200 SW 2ND Ave, Ontario, OR 97914Certificate of waiverMay 8, 2028

National Provider Directory

National Provider Directory

Locations

200 SW 2nd Ave
Ontario, OR 97914
Phone (541) 889-7797

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746921600000",
    "number": "1104018043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SW 2ND AVE",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979142718",
            "telephone_number": "541-889-7797",
            "fax_number": "541-889-3835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SW 2ND AVE",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979142718",
            "telephone_number": "541-889-7797",
            "fax_number": "541-889-3835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONTARIO CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-14",
        "last_updated": "2025-05-11",
        "certification_date": "2025-05-11",
        "status": "A",
        "authorized_official_last_name": "BJORNSON",
        "authorized_official_first_name": "HILARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-889-7797",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "025488003",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.