Organization Active NPI

Dr. Kierstyn LLC

  • Nutrition Chiropractor
  • Eugene, OR
National Provider Identifier
1821129529
Registry record updated Apr 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
27 3035 Issued in OR
Legal business name
DR. KIERSTYN LLC
Doing business as
Dr. Kierstyn LLC
Practice address
2677 Willakenzie Rd
7C
Eugene, OR 97401-4873
Phone
(541) 344-0509
Fax
(541) 344-0955
NPI assigned
Mar 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2013

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

Authorized official

Name
Dr. S Kierstyn, RN DC LLC
Title
Ceo
Phone
(541) 344-0509

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NN1001X 27 3035 OR Primary

Addresses

Primary practice location

2677 Willakenzie Rd
7C
Eugene, OR 97401-4873

Mailing address

2677 Willakenzie Rd
7C
Eugene, OR 97401-4873
Phone (541) 344-0509

Other names 1

  • Dr. Kierstyn LLC Doing business as

National Provider Directory

National Provider Directory

Locations

2677 Willakenzie Rd
Ste 7C
Eugene, OR 97401
Phone (541) 344-0309

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366329600000",
    "number": "1821129529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2677 WILLAKENZIE RD",
            "address_2": "7C",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014873",
            "telephone_number": "541-344-0509",
            "fax_number": "541-344-0955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2677 WILLAKENZIE RD",
            "address_2": "7C",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014873",
            "telephone_number": "541-344-0509",
            "fax_number": "541-344-0955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. KIERSTYN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2013-04-19",
        "status": "A",
        "authorized_official_last_name": "KIERSTYN",
        "authorized_official_first_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "541-344-0509",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "RN DC LLC"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "OR",
            "license": "27 3035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Kierstyn LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2013; 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.