David Koonce, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

010380 Issued in GA

Practice address

424 NE Franklin Ave
Bend, OR 97701-4919

Phone

(541) 388-3588

NPI assigned

Feb 28, 2024

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Ruegsegger Chiropractic, PC

  • Clinic/Center
  • Bend, OR
  • NPI 1437533676
  NPD
• Goulart Family Chiropractic Inc

  • Chiropractor
  • Bend, OR
  • NPI 1093993156
  NPD (past)

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

{
    "created_epoch": "1709078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1679330484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1539 SW 21ST PL",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977569498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 NE FRANKLIN AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014919",
            "telephone_number": "541-388-3588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOONCE",
        "first_name": "DAVID",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-28",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "GA",
            "license": "010380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Kokkeler, CFNC
• Susan Kolb, MS, LPC
• Kevin J Kolcun, PA
• Richard Lynn Koller, M.D.
• Dylan Konkle, D.C.
• Tonya I Koopman, NP
• Taylor Kopecky, DPT
• Ellyn M Kornfeind, MD
• Stephen B Kornfeld, MD
• Katharina Kornhuber, CCC-SLP

• Massage Therapist in Bend, OR
• Providers in Bend, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.