Individual provider Active NPI

Kim Loren Schmaltz, N.D., D.C.

  • Naturopath
  • Wilsonville, OR
National Provider Identifier
1255338273
Registry record updated Feb 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
1224 Issued in OR
Practice address
8855 SW Holly Lane
Suite 105
Wilsonville, OR 97070
Phone
(503) 855-3244
Fax
(503) 855-3597
NPI assigned
Jul 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 273050 OR
Chiropractor 111N00000X 3050 OR
Naturopath 175F00000X 1224 OR Primary

Addresses

Primary practice location

8855 SW Holly Lane
Suite 105
Wilsonville, OR 97070

Mailing address

PO Box 2086
Wilsonville, OR 97070-2086
Phone (503) 855-3244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
273050ORMDChiropractor
3050ORMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Wilsonville Natural Medicine, LLC CurrentSince Jul 25, 2021 Accepting new patients
Clinicops, LLC Naturopath Past Accepting new patients

Locations

8855 SW Holly Ln
Ste 105
Wilsonville, OR 97070
Phone (503) 544-7962

Interoperability endpoints

  • Direct secure messaging: kim.schmaltz.1@32746.direct.athenahealth.com

Organizations & group practices 2

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": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613692800000",
    "number": "1255338273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2086",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970702086",
            "telephone_number": "503-855-3244",
            "fax_number": "503-855-3597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8855 SW HOLLY LANE",
            "address_2": "SUITE 105",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "97070",
            "telephone_number": "503-855-3244",
            "fax_number": "503-855-3597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMALTZ",
        "first_name": "KIM",
        "middle_name": "LOREN",
        "name_prefix": "Dr.",
        "credential": "N.D., D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "273050",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3050",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "1224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilsonville, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; 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.