Individual provider Active NPI

David Jay King, D.C.

  • Chiropractor
  • Hillsboro, OR
National Provider Identifier
1689446502
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6339 Issued in OR
Practice address
862 SE Oak St
Hillsboro, OR 97123-4240
Phone
(503) 648-6997
Fax
(503) 648-0122
NPI assigned
Oct 24, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6339 OR Primary

Addresses

Primary practice location

862 SE Oak St
Hillsboro, OR 97123-4240

Mailing address

862 SE Oak St
Hillsboro, OR 97123-4240
Phone (503) 648-6997

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231117000642 OR Practitioner - Chiropractic 3274980933 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Bridgetown Physical MedicineGroup PAC ID 4082834536, 5 clinicians

Practice addresses (Care Compare)

862 SE Oak St
Suite 2a
Hillsboro, OR 97123-4240
Phone (503) 648-6997

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6339ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgetown Physical Medicine Chiropractor CurrentSince Apr 4, 2025 Accepting new patients

Locations

862 SE Oak St
Ste 2A
Hillsboro, OR 97123
Phone (503) 648-6997

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1698105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1689446502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "862 SE OAK ST",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234240",
            "telephone_number": "503-648-6997",
            "fax_number": "503-648-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "862 SE OAK ST",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234240",
            "telephone_number": "503-648-6997",
            "fax_number": "503-648-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "DAVID",
        "middle_name": "JAY",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-24",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "6339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.