Active NPI
Reyn M Johnson, DC
- Chiropractor
- Portland, OR
National Provider Identifier
1750042206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6198
- Practice address
- 806 SW Broadway Ste 350
Portland, OR 97205-3336 - Phone
- (503) 224-9513
- Fax
- (503) 224-9595
- NPI assigned
- Jan 6, 2022
- Last updated
- Jan 6, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 6198 | OR | Primary |
Addresses
Primary practice location
806 SW Broadway Ste 350
Portland, OR 97205-3336
Mailing address
806 SW Broadway Ste 350
Portland, OR 97205-3336
Phone (503) 224-9513
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
806 SW Broadway
Suite 350
Portland, OR 97205-3336
Phone (503) 224-9513
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6198 | OR | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reyn M. Johnson DC PC | Chiropractor | Current | Accepting new patients |
Locations
806 SW Broadway
Ste 350
Portland, OR 97205
Phone (503) 224-5911
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641427200000",
"number": "1750042206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "806 SW BROADWAY STE 350",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972053336",
"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 STE 350",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972053336",
"telephone_number": "503-224-9513",
"fax_number": "503-224-9595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "REYN",
"middle_name": "M",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-01-06",
"last_updated": "2022-01-06",
"certification_date": "2022-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "6198",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; 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.