Peter Brian Wilkes, DC

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

6243 Issued in OR

Practice address

2705 E Burnside St Ste 213
Portland, OR 97214-1768

Phone

(503) 234-4288

Fax

(503) 234-8613

NPI assigned

Sep 29, 2022

Last updated

Dec 2, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Chiropractic

Education

Western States College of Chiropractic, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wilkes Family Investments LLCGroup PAC ID 2264943844, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wilkes Family Investments LLC

  dba Laurelhurst Chiropractic

  • Chiropractor
  • Portland, OR
  • NPI 1447040423
  Medicare reassignment Care Compare group NPD Authorized official
• Advanced Care PC

  dba Advanced Care Chiropractic

  • Chiropractor
  • Gresham, OR
  • NPI 1093984130
  Medicare reassignment NPD

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

{
    "created_epoch": "1664409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1114641578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2705 E BURNSIDE ST STE 213",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972141768",
            "telephone_number": "503-234-4288",
            "fax_number": "503-234-8613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 E BURNSIDE ST STE 213",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972141768",
            "telephone_number": "503-234-4288",
            "fax_number": "503-234-8613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKES",
        "first_name": "PETER",
        "middle_name": "BRIAN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-29",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "OR",
            "license": "6243",
            "primary": false
        },
        {
            "code": "111NX0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Occupational Health",
            "state": "OR",
            "license": "6243",
            "primary": false
        },
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "OR",
            "license": "6243",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "OR",
            "license": "6243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Donald Wilkerson, DPT
• Wilkes Family Investments LLC (Laurelhurst Chiropractic)
• Wilkes Family Investments LLC (Laurelhurst Chiropractic)
• Crystal Wilkes, LPC
• Cydney R Wilkes, LMT
• Jennifer Wilkeson
• Andrea Marie Wilkie, RDH
• Serron Wilkie, ND
• Lauren Signe Wilkin
• Karen Louise Wilkins-Sheets, MSW, CADC LL

• Rehabilitation Chiropractor in Portland, OR
• Providers in Portland, OR by specialty
• Rehabilitation Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; 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.