Individual provider Active NPI

Jocelyn Kirnak, D.C.

  • Chiropractor
  • Portland, OR
National Provider Identifier
1639220320
Registry record updated Jul 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
273077 Issued in OR
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

Updated by the provider on Jul 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
3077ORMDClinical Psychologist
273077ORMDChiropractor

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.

Verify at the official NPI Registry.