Organization Active NPI

Heppner Chiropractic, LLC

  • Chiropractor
  • Salem, OR
National Provider Identifier
1790927002
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3905 Issued in OR
Legal business name
HEPPNER CHIROPRACTIC, LLC
Doing business as
Evergreen Family Chiropractic
Practice address
1010 13TH St SE
Salem, OR 97302-2507
Phone
(971) 599-1191
Fax
(503) 363-8193
NPI assigned
Apr 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Authorized official

Name
Dr. Abigail Heppner Hodgson, D.C.NPI 1801035928
Title
Chiropractor
Phone
(971) 599-1191

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3905 OR Primary

Addresses

Primary practice location

1010 13TH St SE
Salem, OR 97302-2507

Mailing address

1010 13TH St SE
Salem, OR 97302-2507
Phone (715) 991-1919

Other names 1

  • Evergreen Family Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090506000270 OR Part B Supplier - Clinic/Group Practice 7416005145 Receives reassigned benefits from 1 practitioner
Practice locations: Salem, OR

National Provider Directory

National Provider Directory
Tax ID family
Heppner Chiropractic3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

925 Commercial St SE
Ste 260
Salem, OR 97302
Phone (503) 391-9222

1010 13th St SE
Salem, OR 97302
Phone (503) 399-2444

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746489600000",
    "number": "1790927002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 13TH ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973022507",
            "telephone_number": "715-991-1919",
            "fax_number": "503-363-8193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 13TH ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973022507",
            "telephone_number": "971-599-1191",
            "fax_number": "503-363-8193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEPPNER CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-01",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A",
        "authorized_official_last_name": "HODGSON",
        "authorized_official_first_name": "ABIGAIL",
        "authorized_official_middle_name": "HEPPNER",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "971-599-1191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evergreen Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; 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.