Individual provider Active NPI

Kyle Aaron Zabst, D.C.

  • Chiropractor
  • Clackamas, OR
National Provider Identifier
1235509498
Registry record updated Sep 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5674 Issued in OR
Practice address
8810 SE Sunnybrook Blvd
Ste. 100
Clackamas, OR 97015-6804
Phone
(503) 607-2226
NPI assigned
Sep 30, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5674 OR Primary

Addresses

Primary practice location

8810 SE Sunnybrook Blvd
Ste. 100
Clackamas, OR 97015-6804

Mailing address

8810 SE Sunnybrook Blvd
Ste. 100
Clackamas, OR 97015-6804

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151019002177 OR Practitioner - Chiropractic 7214246065 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Health Center, LLCGroup PAC ID 1052508660, 4 clinicians

Practice addresses (Care Compare)

130 SW 2ND Ave
Suite 101
Canby, OR 97013-4157
Phone (503) 263-3033

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5674ORMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Pivot Health Acupuncture CurrentSince Jan 28, 2024 Accepting new patients
Advanced Health Center, LLC Chiropractor CurrentSince Feb 1, 2020 Accepting new patients
Larry D Jensen DPM PC CurrentSince Feb 1, 2020 Accepting new patients

Locations

130 SW 2nd Ave
Ste 101
Canby, OR 97013
Phone (503) 263-2347

8810 SE Sunnybrook Blvd
Ste 100
Clackamas, OR 97015
Phone (503) 261-1120

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": "1443571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443571200000",
    "number": "1235509498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8810 SE SUNNYBROOK BLVD",
            "address_2": "STE. 100",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970156804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8810 SE SUNNYBROOK BLVD",
            "address_2": "STE. 100",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970156804",
            "telephone_number": "503-607-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZABST",
        "first_name": "KYLE",
        "middle_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-30",
        "last_updated": "2015-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clackamas, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; 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.