Individual provider Active NPI

David Erling Klungness, D.C.

  • Chiropractor
  • Oak Harbor, WA
National Provider Identifier
1124138599
Registry record updated Jul 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034628 Issued in WA
Practice address
270 SE Cabot Dr Ste 4
Oak Harbor, WA 98277-3702
Phone
(360) 279-9955
Fax
(866) 922-2457
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00034628 WA Primary

Addresses

Primary practice location

270 SE Cabot Dr Ste 4
Oak Harbor, WA 98277-3702

Mailing address

270 SE Cabot Dr Ste 4
Oak Harbor, WA 98277-3702
Phone (360) 279-9955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080326000481 WA Practitioner - Chiropractic 9335225762 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

270 SE Cabot Dr
Suite 4
Oak Harbor, WA 98277-3702
Phone (360) 279-9955

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH00034628WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Whidbey Island Chiropractic Center PLLC Chiropractor CurrentSince Jul 15, 2023 Accepting new patients

Locations

270 SE Cabot Dr
Ste 4
Oak Harbor, WA 98277
Phone (360) 279-9955

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657238400000",
    "number": "1124138599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 SE CABOT DR STE 4",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982773702",
            "telephone_number": "360-279-9955",
            "fax_number": "866-922-2457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 SE CABOT DR STE 4",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982773702",
            "telephone_number": "360-279-9955",
            "fax_number": "866-922-2457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLUNGNESS",
        "first_name": "DAVID",
        "middle_name": "ERLING",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; 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.

Verify at the official NPI Registry.