Jeffrey John Kvaternik, DC, CCSP

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

025202-CH00002200 Issued in WA

Practice address

7267 Martin Way E
Olympia, WA 98516-5534

Phone

(360) 438-9609

Fax

(360) 456-7380

NPI assigned

Jul 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Chiropractic Sports & Family Health Center, P.S.

  • Chiropractor
  • Olympia, WA
  • NPI 1740477298
  NPD (past)
• Living Oap, PLLC

  • Chiropractor
  • Olympia, WA
  • NPI 1295054849
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195084800000",
    "number": "1477570109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7267 MARTIN WAY E",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985165534",
            "telephone_number": "360-438-9609",
            "fax_number": "360-456-7380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7267 MARTIN WAY E",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985165534",
            "telephone_number": "360-438-9609",
            "fax_number": "360-456-7380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KVATERNIK",
        "first_name": "JEFFREY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DC, CCSP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "025202-CH00002200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2007748",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMPENSATION",
            "identifier": "0190475",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abigael Kinya Kuria
• Julia Nyambura Kuria, NC60383163
• Christina Kurty
• Maria Theresa S Kurtz, D.O.
• Mitchell Kuwahara, MSW
• La Cambra Co
• Van-Anh La, DDS
• Lab on Call PLLC
• Christine Labeau, M.ED., M.A.
• Laboratory Corporation of America

• Chiropractor in Olympia, WA
• Providers in Olympia, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.