Active NPI
Craig Romulo Gonzales, DC
- Chiropractor
- Portland, OR
National Provider Identifier
1992027718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5135
- Practice address
- 5331 SW Macadam Ave Ste 285
Portland, OR 97239-3849 - Phone
- (503) 894-9111
- Fax
- (503) 217-6424
- NPI assigned
- Feb 21, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 | 5135 | OR | Primary |
Addresses
Primary practice location
5331 SW Macadam Ave Ste 285
Portland, OR 97239-3849
Mailing address
32050 SW Willamette Way E
Wilsonville, OR 97070-9596
Phone (503) 477-2559
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5135 | OR | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 5 Stones LLC | Past | Accepting new patients | |
| The Back and Neck Pain Center of Monterey - Gaily Chiropractic Inc. | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Other Technician
- Monterey, CA
- NPI 1497288278
-
- Chiropractor
- Monterey, CA
- NPI 1295187755
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373328000000",
"number": "1992027718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32050 SW WILLAMETTE WAY E",
"city": "WILSONVILLE",
"state": "OR",
"postal_code": "970709596",
"telephone_number": "503-477-2559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5331 SW MACADAM AVE STE 285",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972393849",
"telephone_number": "503-894-9111",
"fax_number": "503-217-6424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALES",
"first_name": "CRAIG",
"middle_name": "ROMULO",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-02-21",
"last_updated": "2013-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "5135",
"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 Jul 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.