Organization Active NPI

Dr. Sunny Kierstyn Inc

  • Nutrition Chiropractor
  • Eugene, OR
National Provider Identifier
1053748343
Registry record updated Nov 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
3035 Issued in OR
Legal business name
DR. SUNNY KIERSTYN INC
Practice address
1663 High St
Eugene, OR 97401-4113
Phone
(541) 654-0850
Fax
(541) 654-0834
NPI assigned
Oct 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2014

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

Authorized official

Name
Sunny Kierstyn, RN, DC
Title
Owner
Phone
(541) 654-0850

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NN1001X 3035 OR Primary

Addresses

Primary practice location

1663 High St
Eugene, OR 97401-4113

Mailing address

1663 High St
Eugene, OR 97401-4113
Phone (541) 654-0850

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1380585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414800000000",
    "number": "1053748343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1663 HIGH ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014113",
            "telephone_number": "541-654-0850",
            "fax_number": "541-654-0834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1663 HIGH ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014113",
            "telephone_number": "541-654-0850",
            "fax_number": "541-654-0834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SUNNY KIERSTYN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-01",
        "last_updated": "2014-11-01",
        "status": "A",
        "authorized_official_last_name": "KIERSTYN",
        "authorized_official_first_name": "SUNNY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-654-0850",
        "authorized_official_credential": "RN, DC"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "OR",
            "license": "3035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2014; 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.