Organization Active NPI

Journey Chiropractic LLC

  • Chiropractor
  • Beaverton, OR
National Provider Identifier
1336704170
Registry record updated Jul 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
JOURNEY CHIROPRACTIC LLC
Practice address
10445 SW Canyon Rd Ste 101
Beaverton, OR 97005-1938
Phone
(971) 238-9464
Fax
(503) 549-5637
NPI assigned
May 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2020

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

Authorized official

Name
Cassandra Hoy, DC
Title
Chiropractor/Owner
Phone
(971) 238-9464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

10445 SW Canyon Rd Ste 101
Beaverton, OR 97005-1938

Mailing address

10445 SW Canyon Rd Ste 101
Beaverton, OR 97005-1938
Phone (971) 238-9464

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200803000535 OR Part B Supplier - Clinic/Group Practice 2769718196 Receives reassigned benefits from 1 practitioner
Practice locations: Beaverton, OR

National Provider Directory

National Provider Directory

Locations

10445 SW Canyon Rd
Ste 101
Beaverton, OR 97005
Phone (971) 238-9464

8835 SW Canyon Ln
Ste 302
Portland, OR 97225
Phone (503) 203-6855

Practitioners & affiliated clinicians

Practitioners 1

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": "1557187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596067200000",
    "number": "1336704170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10445 SW CANYON RD STE 101",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970051938",
            "telephone_number": "971-238-9464",
            "fax_number": "503-549-5637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10445 SW CANYON RD STE 101",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970051938",
            "telephone_number": "971-238-9464",
            "fax_number": "503-549-5637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-07",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A",
        "authorized_official_last_name": "HOY",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "971-238-9464",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2020; 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.