Individual provider Active NPI

Jennifer Lynn Cunha, D.C.

  • Chiropractor
  • Portland, OR
National Provider Identifier
1265633804
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
71-3735 Issued in OR
Practice address
721 NW 9TH Ave
Suite 100-a
Portland, OR 97209-3444
Phone
(503) 525-0090
Fax
(971) 244-0219
NPI assigned
May 30, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 71-3735 OR Primary

Addresses

Primary practice location

721 NW 9TH Ave
Suite 100-a
Portland, OR 97209-3444

Mailing address

721 NW 9TH Ave
Suite 100-a
Portland, OR 97209-3444
Phone (503) 525-0090

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
71-3735ORMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Gateway Sports Medicine & Rehabilitation PC Chiropractor PastSince Aug 22, 2007 Accepting new patients
Pivot Health Acupuncture PastSince Jan 28, 2024 Accepting new patients
Pearl Health Center,PC PastSince Aug 8, 2011 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": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265633804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 NW 9TH AVE",
            "address_2": "SUITE 100-A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972093444",
            "telephone_number": "503-525-0090",
            "fax_number": "971-244-0219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 NW 9TH AVE",
            "address_2": "SUITE 100-A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972093444",
            "telephone_number": "503-525-0090",
            "fax_number": "971-244-0219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNHA",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "71-3735",
            "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 Jul 8, 2007; 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.