Reyn M. Johnson DC PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

REYN M. JOHNSON DC PC

Practice address

806 SW Broadway
Ste 350
Portland, OR 97205

Phone

(503) 224-9513

Fax

(503) 224-9595

NPI assigned

Sep 2, 2006

Organization subpart

No

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

Authorized official

Name

Reyn M. Johnson, DC PCNPI 1750042206

Title

Owner/President

Phone

(503) 224-9513

Specialties & licenses 1

Addresses

Other names 1

• City Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in OR2 enrollments

Enrollment records 2

Locations

Practitioners 2

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

• Reyn M Johnson, DC

  • Chiropractor
  • Portland, OR
  • NPI 1750042206
  Medicare reassignment NPD Authorized official
• Irina Golovin

  • Massage Therapist
  • Portland, OR
  • NPI 1043895253
  NPD

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682553600000",
    "number": "1609978469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 SW BROADWAY",
            "address_2": "STE 350",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97205",
            "telephone_number": "503-224-9513",
            "fax_number": "503-224-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 SW BROADWAY",
            "address_2": "STE 350",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97205",
            "telephone_number": "503-224-9513",
            "fax_number": "503-224-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REYN M. JOHNSON DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-02",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "REYN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "503-224-9513",
        "authorized_official_credential": "DC PC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "City Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Miranda Reyes
• Monica Reyes
• Raven Michelle Reyes
• Ronalyn C Reyes, PA-C
• Ali Kristine Reykdal
• Jennifer K Reyna, L.AC
• Amanda Reynholds
• Reynolds Optical
• Alexandrea Smone Reynolds
• Anna Eizenija Reynolds

• Chiropractor in Portland, OR
• Providers in Portland, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.