NPIMap

Organization Active NPI

Summit Chiropractic Holding LLC

  • Chiropractor
  • West Linn, OR
National Provider Identifier
1922608819
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SUMMIT CHIROPRACTIC HOLDING LLC
Practice address
21400 Salamo Rd
West Linn, OR 97068-7201
Phone
(503) 650-2487
Fax
(503) 650-4382
NPI assigned
Oct 29, 2020
Last updated
Oct 29, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
CAMERON JOHNSON DC LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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

Authorized official

Name
Dr. Cameron Keith Johnson, DCNPI 1013248020
Title
Owner
Phone
(503) 705-7477

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary
Massage Therapist 225700000X NU

Addresses

Primary practice location

21400 Salamo Rd
West Linn, OR 97068-7201

Mailing address

21400 Salamo Rd
West Linn, OR 97068-7201
Phone (503) 650-2487

National Provider Directory

National Provider Directory
Part of
Cameron Johnson DC LLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603929600000",
    "number": "1922608819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21400 SALAMO RD",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970687201",
            "telephone_number": "503-650-2487",
            "fax_number": "503-650-4382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21400 SALAMO RD",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970687201",
            "telephone_number": "503-650-2487",
            "fax_number": "503-650-4382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT CHIROPRACTIC HOLDING LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAMERON JOHNSON DC LLC",
        "enumeration_date": "2020-10-29",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-14",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CAMERON",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-705-7477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Linn, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.