Tyrel Aaron Johnson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5826 Issued in OR

Practice address

522 SE Belmont St
Portland, OR 97214-2308

Phone

(503) 257-1324

NPI assigned

Jun 5, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Cascade Chiropractic and Wellness LLC

  • Chiropractor
  • Portland, OR
  • NPI 1730505314
  NPD (past)

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

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1255860276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 SE BELMONT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142308",
            "telephone_number": "503-257-1324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 SE BELMONT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142308",
            "telephone_number": "503-257-1324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TYREL",
        "middle_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas K Johnson, LPC
• Thomas Neil Johnson, DC
• Tracy Johnson, RN
• Tristie Kay Johnson
• Tyler Johnson, DC
• Valori Kathleen Johnson, DVM
• Victoria Lynne Johnson
• Virginia Vera Johnson
• Wilford Johnson, PSS, CRM
• Willamette J Johnson, QMHA-II

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.