Individual provider Active NPI

Kevin Yurkish, DC MS

  • Chiropractor
  • Portland, OR
National Provider Identifier
1205347440
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5853 Issued in OR
Practice address
818 N Russell St Ste B
Portland, OR 97227-1732
Phone
(971) 208-5297
NPI assigned
Oct 16, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5853 OR Primary

Addresses

Primary practice location

818 N Russell St Ste B
Portland, OR 97227-1732

Mailing address

818 N Russell St Ste B
Portland, OR 97227-1732
Phone (971) 208-5297

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180201002980 OR Practitioner - Chiropractic 2264792720 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

818 N Russell St
Suite B
Portland, OR 97227-1732
Phone (971) 208-5297

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
5853ORMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Milwaukie Chiropractic Center Chiropractor Past Accepting new patients
Keith D. Johns D.C., P.C. Chiropractor PastSince May 14, 2008 Accepting new patients

Organizations & group practices 3

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": "1508112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1205347440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 N RUSSELL ST STE B",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271732",
            "telephone_number": "971-208-5297",
            "fax_number": "971-533-2506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 N RUSSELL ST STE B",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271732",
            "telephone_number": "971-208-5297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YURKISH",
        "first_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "DC MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-16",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5853",
            "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 Jan 3, 2025; 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.