Organization Active NPI

Pioneer Chiropractic & Wellness

Doing business as Crestview Chiropractic

  • Chiropractor
  • Tigard, OR
National Provider Identifier
1518621853
Registry record updated Dec 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PIONEER CHIROPRACTIC & WELLNESS
Doing business as
Crestview Chiropractic
Practice address
7340 SW Hunziker Rd Ste 101
Tigard, OR 97223-2303
Phone
(503) 488-5485
NPI assigned
Oct 22, 2021
Last updated
Dec 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2021

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

Authorized official

Name
Dr. Nicholas Ryan McBride, DCNPI 1992028435
Title
Owner
Phone
(503) 488-5485

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

7340 SW Hunziker Rd Ste 101
Tigard, OR 97223-2303

Mailing address

7340 SW Hunziker Rd Ste 101
Tigard, OR 97223-2303
Phone (503) 488-5485

Other names 1

  • Crestview Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211029000150 OR Part B Supplier - Clinic/Group Practice 5799173464 Receives reassigned benefits from 1 practitioner
Practice locations: Tigard, OR

National Provider Directory

National Provider Directory

Locations

7340 SW Hunziker Rd
Tigard, OR 97223
Phone (971) 393-7765

Practitioners & affiliated clinicians

Practitioners 2

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": "1634860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640131200000",
    "number": "1518621853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7340 SW HUNZIKER RD STE 101",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972232303",
            "telephone_number": "503-488-5485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7340 SW HUNZIKER RD STE 101",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972232303",
            "telephone_number": "503-488-5485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER CHIROPRACTIC & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-22",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A",
        "authorized_official_last_name": "MCBRIDE",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-488-5485",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crestview Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tigard, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.