Individual provider Active NPI

Westley Merrill Kuns, D.C.

  • Chiropractor
  • Gresham, OR
National Provider Identifier
1669518940
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
272998 Issued in OR
Practice address
405 NE Division St
Gresham, OR 97030-3947
Phone
(503) 661-0791
Fax
(503) 661-1136
NPI assigned
Jan 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 272998 OR Primary

Addresses

Primary practice location

405 NE Division St
Gresham, OR 97030-3947

Mailing address

405 NE Division St
Gresham, OR 97030-3947
Phone (503) 661-0791

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070604000100 OR Practitioner - Chiropractic 4981702743 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 1996
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

405 NE Division St
Gresham, OR 97030-3947
Phone (503) 661-0791

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
272998ORMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Kuns Chiropractic Clinic Inc Chiropractor CurrentSince Jun 13, 2007 Accepting new patients
Kuns Chiropractic Clinic Current Accepting new patients

Locations

405 NE Division St
Gresham, OR 97030
Phone (503) 661-0791

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669518940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 NE DIVISION ST",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970303947",
            "telephone_number": "503-661-0791",
            "fax_number": "503-661-1136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 NE DIVISION ST",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970303947",
            "telephone_number": "503-661-0791",
            "fax_number": "503-661-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNS",
        "first_name": "WESTLEY",
        "middle_name": "MERRILL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "272998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gresham, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.