Active NPI
Coby L. Johns, D.C.
- Chiropractor
- Beaverton, OR
National Provider Identifier
1366494007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 71 3653
- Practice address
- 3300 SW Hocken Ave
#108
Beaverton, OR 97005-2435 - Phone
- (503) 526-8782
- Fax
- (503) 526-8721
- NPI assigned
- May 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 7493 | AZ | |
| Chiropractor | 111N00000X | 71 3653 | OR | Primary |
Addresses
Primary practice location
3300 SW Hocken Ave
#108
Beaverton, OR 97005-2435
Mailing address
611 S 14TH PL
Ridgefield, WA 98642-9256
Phone (503) 927-9250
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71 3653 | OR | MD | Chiropractor |
| 3656 | OR | MD | Physical Therapist |
| 7493 | AZ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Spine and Pain LLC | Chiropractor | Past | Accepting new patients |
| Allen Chiropractic LLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Interventional Pain Medicine Physician
- Phoenix, AZ
- NPI 1356950653
Chiropractor
-
- Chiropractor
- Vancouver, WA
- NPI 1356392765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366494007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 S 14TH PL",
"city": "RIDGEFIELD",
"state": "WA",
"postal_code": "986429256",
"telephone_number": "503-927-9250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 SW HOCKEN AVE",
"address_2": "#108",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970052435",
"telephone_number": "503-526-8782",
"fax_number": "503-526-8721"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNS",
"first_name": "COBY",
"middle_name": "L.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "7493",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "71 3653",
"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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.