K G Gauntt DPM PC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

DP00197 Issued in OR

Legal business name

K G GAUNTT DPM PC

Doing business as

Foot Health Center of Newberg

Practice address

410 Villa Road
Newberg, OR 97132-1853

Phone

(503) 538-0466

NPI assigned

Mar 5, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Kim Gary Gauntt, DPMNPI 1902908171

Title

Owner

Phone

(503) 538-0466

Specialties & licenses 1

Addresses

Other names 1

• Foot Health Center of Newberg Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kim Gary Gauntt, D.P.M.

  • Podiatrist
  • Newberg, OR
  • NPI 1902908171
  NPD Authorized official
• Lacey Beth Lockhart

  • Foot & Ankle Surgery Podiatrist
  • Salem, OR
  • NPI 1497149454
  NPD

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367884800000",
    "number": "1366612376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 VILLA ROAD",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971321853",
            "telephone_number": "503-538-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 VILLA ROAD",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971321853",
            "telephone_number": "503-538-0466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K G GAUNTT DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2013-05-07",
        "status": "A",
        "authorized_official_last_name": "GAUNTT",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "GARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-538-0466",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OR",
            "license": "DP00197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foot Health Center of Newberg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer M. Jordan, N.P.
• Linda Josten
• Victoria Grace Juarez
• Emily Juggert, LMT
• K G Gauntt DPM PC
• K. G. Gauntt D.P.M. (Tuality Podiatry)
• Kaiser Foundation Health Plan of the Northwest
• Cortni Kalick, LMT
• Daniel Chang Yun Kang, DPT
• Shannon Kaplan, MS-CCC SLP

• Durable Medical Equipment & Medical Supplies in Newberg, OR
• Providers in Newberg, OR by specialty
• Durable Medical Equipment & Medical Supplies in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2013; 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.