Active NPI
Ann Zukauskas, DC
- Nutrition Chiropractor
- Portland, OR
National Provider Identifier
1104803238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Chiropractor
- License
- 27 3158
- Practice address
- 4850 SW Scholls Ferry Rd Ste 205
Portland, OR 97225-1692 - Phone
- (503) 663-9319
- NPI assigned
- Dec 29, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | 27 3158 | OR | Primary |
Addresses
Primary practice location
4850 SW Scholls Ferry Rd Ste 205
Portland, OR 97225-1692
Mailing address
2421 SE Barnes Rd
Gresham, OR 97080-7276
Phone (503) 663-9319
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191223001335 | OR | Practitioner - Chiropractic | 4082048236 | Practice locations: Portland, OR |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4850 SW Scholls Ferry Rd
Suite 205
Portland, OR 97225-1692
Phone (503) 252-3801
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27 3158 | OR | MD | Nutrition Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567900800000",
"number": "1104803238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2421 SE BARNES RD",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970807276",
"telephone_number": "503-663-9319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4850 SW SCHOLLS FERRY RD STE 205",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972251692",
"telephone_number": "503-663-9319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZUKAUSKAS",
"first_name": "ANN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-12-29",
"last_updated": "2019-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "OR",
"license": "27 3158",
"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 Sep 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.