Kyle Bangs, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5793 Issued in OR

Practice address

512 7TH St
Oregon City, OR 97045-2235

Phone

(503) 730-2788

Fax

(503) 862-5043

NPI assigned

Jan 18, 2017

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

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Chiropractic

Education

Western States College of Chiropractic, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Function Performance Sport Chiropractic LLCGroup PAC ID 2769819085, 2 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.

• Function Performance Sport Chiropractic LLC

  • Sports Physician Chiropractor
  • Oregon City, OR
  • NPI 1588079776
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1484697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1518403294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 7TH ST",
            "address_2": "STE 100",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970452246",
            "telephone_number": "503-730-2788",
            "fax_number": "503-862-5043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 7TH ST",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970452235",
            "telephone_number": "503-730-2788",
            "fax_number": "503-862-5043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANGS",
        "first_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-18",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Oregon City, OR
• Providers in Oregon City, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; 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.