Active NPI
Kyle A Jones, D.C.
- Chiropractor
- Portland, OR
National Provider Identifier
1710439252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5753
- Practice address
- 10555 SE Washington St
Portland, OR 97216-2808 - Phone
- (503) 284-7838
- NPI assigned
- Nov 1, 2016
- Sex
- Male
- 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 | 5753 | OR | Primary |
Addresses
Primary practice location
10555 SE Washington St
Portland, OR 97216-2808
Mailing address
10555 SE Washington St
Portland, OR 97216-2808
Phone (503) 284-7838
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 |
|---|---|---|---|
| 13580 | TX | MD | Addiction (Substance Use Disorder) Counselor |
| 5753 | OR | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477958400000",
"number": "1710439252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10555 SE WASHINGTON ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972162808",
"telephone_number": "503-284-7838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10555 SE WASHINGTON ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972162808",
"telephone_number": "503-284-7838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "KYLE",
"middle_name": "A",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-11-01",
"last_updated": "2016-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "5753",
"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 Nov 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.