Organization Active NPI

Vazquez LLC

  • Chiropractor
  • Sherwood, OR
National Provider Identifier
1568259158
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
VAZQUEZ LLC
Doing business as
Sherwood Chiropractic and Rehab. Center
Practice address
20055 SW Pacific Hwy Ste 210
Sherwood, OR 97140-9294
Phone
(503) 625-2225
NPI assigned
Apr 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Authorized official

Name
Dr. Geovanny Vazquez, DCNPI 1477304244
Title
President
Phone
(503) 625-2225

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

20055 SW Pacific Hwy Ste 210
Sherwood, OR 97140-9294

Mailing address

20055 SW Pacific Hwy Ste 210
Sherwood, OR 97140-9294
Phone (503) 625-2225

Other names 1

  • Sherwood Chiropractic and Rehab. Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251016004498 OR Part B Supplier - Clinic/Group Practice 0941797484 Receives reassigned benefits from 1 practitioner
Practice locations: Sherwood, OR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1745452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745452800000",
    "number": "1568259158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20055 SW PACIFIC HWY STE 210",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971409294",
            "telephone_number": "503-625-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20055 SW PACIFIC HWY STE 210",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971409294",
            "telephone_number": "503-625-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAZQUEZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-24",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ",
        "authorized_official_first_name": "GEOVANNY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-625-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sherwood Chiropractic and Rehab. Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sherwood, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.