Active NPI
Jocelyn Kirnak, D.C.
- Chiropractor
- Portland, OR
National Provider Identifier
1639220320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 273077
- Practice address
- 5201 SW Westgate Dr
Suite 119
Portland, OR 97221-2412 - Phone
- (503) 335-0449
- Fax
- (503) 292-6551
- NPI assigned
- Jan 16, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 273077 | OR | Primary |
Addresses
Primary practice location
5201 SW Westgate Dr
Suite 119
Portland, OR 97221-2412
Mailing address
5201 SW Westgate Dr
Suite 119
Portland, OR 97221
Phone (503) 335-0449
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3077 | OR | MD | Clinical Psychologist |
| 273077 | OR | MD | Chiropractor |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310601600000",
"number": "1639220320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5201 SW WESTGATE DR",
"address_2": "SUITE 119",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97221",
"telephone_number": "503-335-0449",
"fax_number": "503-292-6551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5201 SW WESTGATE DR",
"address_2": "SUITE 119",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972212412",
"telephone_number": "503-335-0449",
"fax_number": "503-292-6551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRNAK",
"first_name": "JOCELYN",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-16",
"last_updated": "2011-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "273077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.