NPIMap

Organization Active NPI

Kuns Chiropractic Clinic Inc

  • Chiropractor
  • Gresham, OR
National Provider Identifier
1316071046
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
272998 Issued in OR
Legal business name
KUNS CHIROPRACTIC CLINIC INC
Practice address
405 NE Division St
Gresham, OR 97030-3947
Phone
(503) 661-0791
Fax
(503) 661-1136
NPI assigned
Mar 15, 2007
Last updated
Sep 8, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

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

Authorized official

Name
Dr. Westley Merrill Kuns, D.C.NPI 1669518940
Title
Owner
Phone
(503) 661-0791

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 272998 OR Primary

Addresses

Primary practice location

405 NE Division St
Gresham, OR 97030-3947

Mailing address

405 NE Division St
Gresham, OR 97030-3947
Phone (503) 661-0791

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070613000057 OR Part B Supplier - Clinic/Group Practice 4789782806 Receives reassigned benefits from 1 practitioner
Practice locations: Gresham, OR

National Provider Directory

National Provider Directory
Tax ID family
Kuns Chiropractic Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

405 NE Division St
Gresham, OR 97030
Phone (503) 661-0791

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662595200000",
    "number": "1316071046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 NE DIVISION ST",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970303947",
            "telephone_number": "503-661-0791",
            "fax_number": "503-661-1136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 NE DIVISION ST",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970303947",
            "telephone_number": "503-661-0791",
            "fax_number": "503-661-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUNS CHIROPRACTIC CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A",
        "authorized_official_last_name": "KUNS",
        "authorized_official_first_name": "WESTLEY",
        "authorized_official_middle_name": "MERRILL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-661-0791",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "272998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gresham, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.