Organization Active NPI

Kearns Chiropractic Clinic Inc

  • Chiropractor
  • McMinnville, OR
National Provider Identifier
1629514815
Registry record updated Nov 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4120 Issued in OR
Legal business name
KEARNS CHIROPRACTIC CLINIC INC
Practice address
2214 NE McDonald LN
McMinnville, OR 97128-2702
Phone
(503) 434-6603
Fax
(503) 434-6746
NPI assigned
Jan 11, 2017
Last updated
Nov 7, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2018

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

Authorized official

Name
Dr. Cressie Kearns, D.C.NPI 1821168360
Title
President/Doctor of Chiropractic
Phone
(503) 434-6603

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4120 OR Primary

Addresses

Primary practice location

2214 NE McDonald LN
McMinnville, OR 97128-2702

Mailing address

2214 NE McDonald LN
McMinnville, OR 97128-2702
Phone (503) 434-6603

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170317001346 OR Part B Supplier - Clinic/Group Practice 9537444351 Receives reassigned benefits from 1 practitioner
Practice locations: McMinnville, OR

National Provider Directory

National Provider Directory

Locations

2214 NE McDonald Ln
McMinnville, OR 97128
Phone (503) 434-6603

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1484092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541548800000",
    "number": "1629514815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2214 NE MCDONALD LN",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971282702",
            "telephone_number": "503-434-6603",
            "fax_number": "503-434-6746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2214 NE MCDONALD LN",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971282702",
            "telephone_number": "503-434-6603",
            "fax_number": "503-434-6746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEARNS CHIROPRACTIC CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-11",
        "last_updated": "2018-11-07",
        "status": "A",
        "authorized_official_last_name": "KEARNS",
        "authorized_official_first_name": "CRESSIE",
        "authorized_official_title_or_position": "PRESIDENT/DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "503-434-6603",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "4120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McMinnville, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.