NPIMap

Organization Active NPI

Walker Road Chiropractic PC

  • Chiropractor
  • Beaverton, OR
National Provider Identifier
1477705242
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
WALKER ROAD CHIROPRACTIC PC
Practice address
15220 NW Greenbrier Parkway, Suite 260
Beaverton, OR 97006
Phone
(503) 439-9494
Fax
(503) 645-4404
NPI assigned
Oct 10, 2008
Last updated
Apr 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2023

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

Authorized official

Name
Dr. Zane Ronald Gard Jr., D.C.NPI 1780853283
Title
Owner/President
Phone
(503) 439-9494

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

15220 NW Greenbrier Parkway, Suite 260
Beaverton, OR 97006

Mailing address

15220 NW Greenbrier Parkway, Suite 260
Beaverton, OR 97006
Phone (503) 439-9494

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040817001429 OR Part B Supplier - Clinic/Group Practice 7517930506 Receives reassigned benefits from 1 practitioner
Practice locations: Beaverton, OR

National Provider Directory

National Provider Directory

Locations

15050 SW Koll Pkwy
Ste G
Beaverton, OR 97006
Phone (503) 439-9494

15220 NW Greenbrier Pkwy
Ste 260
Beaverton, OR 97006
Phone (503) 439-9494

16165 SW Regatta Ln
Ste 800
Beaverton, OR 97006
Phone (503) 439-9494

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1223596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680652800000",
    "number": "1477705242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15220 NW GREENBRIER PARKWAY, SUITE 260",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "97006",
            "telephone_number": "503-439-9494",
            "fax_number": "503-645-4404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15220 NW GREENBRIER PARKWAY, SUITE 260",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "97006",
            "telephone_number": "503-439-9494",
            "fax_number": "503-645-4404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALKER ROAD CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-10",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A",
        "authorized_official_last_name": "GARD",
        "authorized_official_first_name": "ZANE",
        "authorized_official_middle_name": "RONALD",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "503-439-9494",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "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 Apr 5, 2023; 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.