Watson Chiropractic, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2973 Issued in OR

Legal business name

WATSON CHIROPRACTIC, P.C.

Practice address

18670 Willamette Dr
101
West Linn, OR 97068-1796

Phone

(503) 697-7463

Fax

(503) 697-2743

NPI assigned

Dec 3, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Gonzzo Watson, DCNPI 1033127816

Title

President

Phone

(503) 697-7463

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 1

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

• Gonzzo Watson, DC

  • Chiropractor
  • West Linn, OR
  • NPI 1033127816
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1228262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228262400000",
    "number": "1609011824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18670 WILLAMETTE DR",
            "address_2": "STE 101",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970681796",
            "telephone_number": "503-697-7463",
            "fax_number": "503-697-2743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18670 WILLAMETTE DR",
            "address_2": "101",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970681796",
            "telephone_number": "503-697-7463",
            "fax_number": "503-697-2743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATSON CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-03",
        "last_updated": "2008-12-03",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "GONZZO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-697-7463",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "2973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158842",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR PART B",
            "identifier": "350555",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "808027000",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelbie Rene Wallace, LPC
• Walmart Inc.
• William Walters, PT
• Jordan Nicole Ward, LMT
• Denise Watkins, BS, RDH
• Gonzzo Watson, DC
• Catherine Weaver, LMT
• Lonny Webb
• Melanie S Weeks, MD
• Ted C Weesner, DDS

• Chiropractor in West Linn, OR
• Providers in West Linn, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2008; 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.