Kain Taylor Queck, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6146 Issued in OR

Practice address

213 S Old Pacific Hwy
Myrtle Creek, OR 97457-8784

Phone

(541) 860-3000

NPI assigned

Nov 12, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tricity ChiropracticGroup PAC ID 1759565484, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Tricity Chiropractic

  • Chiropractor
  • Myrtle Creek, OR
  • NPI 1366741860
  Medicare reassignment Care Compare group NPD
• Carrollton Chiropractic Center Inc

  • Chiropractor
  • Carrollton, OH
  • NPI 1033249727
  NPD (past)

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

{
    "created_epoch": "1605139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1467054726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 S OLD PACIFIC HWY",
            "city": "MYRTLE CREEK",
            "state": "OR",
            "postal_code": "974578784",
            "telephone_number": "541-860-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 S OLD PACIFIC HWY",
            "city": "MYRTLE CREEK",
            "state": "OR",
            "postal_code": "974578784",
            "telephone_number": "541-860-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUECK",
        "first_name": "KAIN",
        "middle_name": "TAYLOR",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-12",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "DC-05010",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "6146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myrtle Creek Chiropractic P.C.
• Brittany Ily Osborne, MS CCC-SLP
• Mark C Phillips, MD
• Jordan Lane Pringle
• Thomas Pugel, LMFT
• Restora Physical Therapy Inc
• JD Tucker Rohm, D.C.
• Lonnie D Sanders, RPH
• Emily Savage, PHARM.D (RPH)
• Jaime Francisco Serranzana, MD

• Chiropractor in Myrtle Creek, OR
• Providers in Myrtle Creek, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.