Active NPI
John J Kulus, D.O.
- Family Medicine Physician
- Monmouth, OR
National Provider Identifier
1346320157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DO-09565
- Practice address
- 1220 Main St E
Monmouth, OR 97361-1839 - Phone
- (503) 838-3665
- Fax
- (503) 838-3663
- NPI assigned
- Oct 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DO-09565 | OR | Primary |
Addresses
Primary practice location
1220 Main St E
Monmouth, OR 97361-1839
Mailing address
1220 Main St E
Monmouth, OR 97361-1839
Phone (503) 838-3665
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102129 | Medicaid | OR |
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
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO-09565 | OR | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282780800000",
"number": "1346320157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1220 MAIN ST E",
"city": "MONMOUTH",
"state": "OR",
"postal_code": "973611839",
"telephone_number": "503-838-3665",
"fax_number": "503-838-3663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 MAIN ST E",
"city": "MONMOUTH",
"state": "OR",
"postal_code": "973611839",
"telephone_number": "503-838-3665",
"fax_number": "503-838-3663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KULUS",
"first_name": "JOHN",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2010-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "DO-09565",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102129",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Monmouth, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.