Individual provider Active NPI

Randall Evans, DC

  • Chiropractor
  • Hillsboro, OR
National Provider Identifier
1417512096
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5960 Issued in OR
Practice address
18565 W Baseline Rd Ste a
Hillsboro, OR 97006-2942
Phone
(503) 352-4378
NPI assigned
May 8, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5960 OR Primary

Addresses

Primary practice location

18565 W Baseline Rd Ste a
Hillsboro, OR 97006-2942

Mailing address

18565 W Baseline Rd Ste a
Hillsboro, OR 97006-2942
Phone (503) 352-4378

Other practice location 1

2515 Liberty St NE
Salem, OR 97301-8386
Phone (503) 390-1552

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address contact@alignandshinepdx.com
Direct Messaging Address contact@alignandshinepdx.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250618003273 OR Practitioner - Chiropractic 3476064189 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Align & Shine LLC Chiropractor CurrentSince May 28, 2025 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1557273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1417512096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18565 W BASELINE RD STE A",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "970062942",
            "telephone_number": "503-352-4378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18565 W BASELINE RD STE A",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "970062942",
            "telephone_number": "503-352-4378"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2515 Liberty St NE",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973018386",
            "country_code": "US",
            "telephone_number": "503-390-1552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "RANDALL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-08",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "contact@alignandshinepdx.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "18565 W Baseline Rd Ste A",
            "city": "Hillsboro",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970062942",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "contact@alignandshinepdx.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "18565 W Baseline Rd Ste A",
            "city": "Hillsboro",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970062942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; 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.