Organization Active NPI

The Chiro Clinic Longview PLLC

  • Chiropractor
  • Longview, WA
National Provider Identifier
1255201091
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
THE CHIRO CLINIC LONGVIEW PLLC
Practice address
1157 3Rd Ave Ste 145
Longview, WA 98632-6004
Phone
(360) 295-2828
NPI assigned
Nov 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Authorized official

Name
Paul ReedNPI 1194809392
Title
Owner
Phone
(360) 601-8408

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

1157 3Rd Ave Ste 145
Longview, WA 98632-6004

Mailing address

1157 3Rd Ave Ste 145
Longview, WA 98632-6004

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251208001225 WA Part B Supplier - Clinic/Group Practice 6406349455 Receives reassigned benefits from 1 practitioner
Practice locations: Longview, WA

National Provider Directory

National Provider Directory

Locations

13023 NE Highway 99
Ste 7337
Vancouver, WA 98686

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": "1762473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762473600000",
    "number": "1255201091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1157 3RD AVE STE 145",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986326004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1157 3RD AVE STE 145",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986326004",
            "telephone_number": "360-295-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHIRO CLINIC LONGVIEW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-07",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-601-8408"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2025; 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.