Padilla Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

PADILLA CHIROPRACTIC, LLC

Practice address

289 E Ellendale Ave Ste 701
Dallas, OR 97338-1559

Phone

(503) 967-8568

NPI assigned

Apr 29, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Wesley Kyle Padilla, DCNPI 1992498323

Title

Physician

Phone

(503) 967-8568

Specialties & licenses 1

Addresses

Other names 1

• Imago Dei Chiropractic and Family Wellness Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 1

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

• Wesley Kyle Padilla, DC

  • Chiropractor
  • Dallas, OR
  • NPI 1992498323
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1745884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746057600000",
    "number": "1982492872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 E ELLENDALE AVE STE 701",
            "city": "DALLAS",
            "state": "OR",
            "postal_code": "973381559",
            "telephone_number": "503-967-8568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 E ELLENDALE AVE STE 701",
            "city": "DALLAS",
            "state": "OR",
            "postal_code": "973381559",
            "telephone_number": "503-967-8568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PADILLA CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-29",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A",
        "authorized_official_last_name": "PADILLA",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "KYLE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "503-967-8568",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Imago Dei Chiropractic and Family Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Imago Dei Chiropractic and Family Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Oregon Em-I Medical Services PC
• Oregon Family Health, LLC
• Oregon Recovery Behavioral Health
• Pacific NW Massage
• Tara Paddock
• Amber Padilla
• Wesley Kyle Padilla, DC
• Jennifer Pangburn, BS
• Nathaniel Paredes, PT, DPT
• Cynthia Parker I

• Chiropractor in Dallas, OR
• Providers in Dallas, OR by specialty
• Chiropractor in Oregon

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