Performance and Spine Chiropractic Center, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3859 Issued in OR

Legal business name

PERFORMANCE AND SPINE CHIROPRACTIC CENTER, LLC

Practice address

19365 SW 65TH Ave
Suite 104
Tualatin, OR 97062-9196

Phone

(503) 348-4464

NPI assigned

Jul 9, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan KinneyNPI 1225291164

Title

Member

Phone

(503) 348-4464

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jonathan Thomas Kinney, D.C.

  • Chiropractor
  • Tualatin, OR
  • NPI 1225291164
  NPD (past) Authorized official

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1801059753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19365 SW 65TH AVE",
            "address_2": "SUITE 104",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970629196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19365 SW 65TH AVE",
            "address_2": "SUITE 104",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970629196",
            "telephone_number": "503-348-4464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE AND SPINE CHIROPRACTIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-09",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "KINNEY",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "503-348-4464",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatric Dental Clinic
• Martina Man Peil, PHARMD
• Meghan Lundeen Pence, MA
• Kayla L Pennington, RN, BSN, MS, CRNA
• Claudia Raquel Perfecto
• Performance Modalities Inc
• Periodontal Associates, LLC
• Gail Peterson Frey, OT
• Candace L Peterson, DMD
• Dean Kyle Peterson, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; 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.