David Thomas Juratovac, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5803 Issued in OR

Practice address

4515 SW Corbett Ave Ste 102
Portland, OR 97239-4289

Phone

(503) 224-5464

NPI assigned

Feb 22, 2017

Last updated

Feb 11, 2019By the provider in NPPES

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

Enrolled in OR

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Group practices

Discover Chiropractic PCGroup PAC ID 8224325758, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Discover Chiropractic, P.C.

  dba Discover Chiropractic

  • Chiropractor
  • Bend, OR
  • NPI 1801344940
  Medicare reassignment Care Compare group NPD
• Elevate Wellness Chiropractic LLC

  dba ELEVATE Wellness & Chiropractic

  • Chiropractor
  • Portland, OR
  • NPI 1508491200
  NPD Authorized official
• David Juratovac

  • Chiropractor
  • Portland, OR
  • NPI 1457817843
  NPD (past) Authorized official

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

{
    "created_epoch": "1487721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549843200000",
    "number": "1760921886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 SW CORBETT AVE STE 102",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972394289",
            "telephone_number": "503-224-5464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 SW CORBETT AVE STE 102",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972394289",
            "telephone_number": "503-224-5464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JURATOVAC",
        "first_name": "DAVID",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-22",
        "last_updated": "2019-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Houk Chun Junn, MD
• Camille Renee Juntunen, MA,CCC/SLP
• Yen-Yi Juo, M.D.
• Randell Peter Jura, M.D.
• Jorge Orlando Jurado-Salinas
• Emily Jurgens
• Kerstin Yvonne Jurges, BS IN PT
• Iva Juric
• Anna Jurken
• Jessica Jurkovich

• Chiropractor in Portland, OR
• Providers in Portland, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; 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.