Individual provider Active NPI

Zane R Gard Jr., D.C.

  • Chiropractor
  • Beaverton, OR
National Provider Identifier
1780853283
Registry record updated Oct 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
273244 Issued in OR
Practice address
15220 NW Greenbrier Parkway, Suite 260
Beaverton, OR 97006
Phone
(503) 439-9494
Fax
(503) 645-4404
NPI assigned
Feb 28, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 273244 OR Primary

Addresses

Primary practice location

15220 NW Greenbrier Parkway, Suite 260
Beaverton, OR 97006

Mailing address

15220 NW Greenbrier Parkway, Suite 260
Beaverton, OR 97006
Phone (503) 439-9494

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090128000219 OR Practitioner - Chiropractic 8426112905 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

15220 NW Greenbrier Pkwy
Suite 260
Beaverton, OR 97006-8111
Phone (503) 439-9494

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3244ORMDMental Health Counselor
273244ORMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Walker Road Chiropractic PC Chiropractor CurrentSince Jun 16, 2011 Accepting new patients

Locations

16165 SW Regatta Ln
Ste 800
Beaverton, OR 97006
Phone (503) 439-9494

15220 NW Greenbrier Pkwy
Ste 260
Beaverton, OR 97006
Phone (503) 439-9494

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": "1204156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443657600000",
    "number": "1780853283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15220 NW GREENBRIER PARKWAY, SUITE 260",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "97006",
            "telephone_number": "503-439-9494",
            "fax_number": "503-645-4404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15220 NW GREENBRIER PARKWAY, SUITE 260",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "97006",
            "telephone_number": "503-439-9494",
            "fax_number": "503-645-4404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARD",
        "first_name": "ZANE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-28",
        "last_updated": "2015-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "273244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2015; 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.