Sunnybrook Chiropractic Corp

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SUNNYBROOK CHIROPRACTIC CORP

Practice address

2305 SE Washington St Ste 105
Milwaukie, OR 97222-7647

Phone

(503) 305-8825

Fax

(503) 303-4389

NPI assigned

Sep 30, 2019

Organization subpart

No

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

Authorized official

Name

Christopher Anthony Dominic, DCNPI 1811590409

Title

President

Phone

(949) 230-5737

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christopher Anthony Dominic, DC

  • Chiropractor
  • Portland, OR
  • NPI 1811590409
  Medicare reassignment Care Compare group NPD Authorized official
• Wendell Cole Taylor, DC

  • Chiropractor
  • Portland, OR
  • NPI 1316715121
  Medicare reassignment Care Compare group NPD
• Eddy Mydouangchanh

  • Chiropractor
  • Covina, CA
  • NPI 1497177844

  OR

  Medicare reassignment NPD

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

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756598400000",
    "number": "1376184564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 SE WASHINGTON ST STE 105",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972227647",
            "telephone_number": "503-305-8825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 SE WASHINGTON ST STE 105",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972227647",
            "telephone_number": "503-305-8825",
            "fax_number": "503-303-4389"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14115 SE Division St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972362628",
            "country_code": "US",
            "telephone_number": "503-516-5916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUNNYBROOK CHIROPRACTIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-30",
        "last_updated": "2025-08-31",
        "certification_date": "2025-08-31",
        "status": "A",
        "authorized_official_last_name": "DOMINIC",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-230-5737",
        "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": []
}

• Dennis Michael Sullivan, D.C.
• Kelly Sullivan, MSW, LCSW
• Lisa C. Sullivan, M.D.
• Summit Medical Group, LLC
• Jason Dean Sundseth, M.D.
• Virginia F Sunseri
• Brice William Suprenant, R.D.
• Suresh Kasaraneni, M.D., P.C.
• Sustainable Alignment, LLC
• Beverly A Sutter, PHYSICAL THERAPIST

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.