K. G. Gauntt D.P.M.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

DP00197 Issued in OR

Legal business name

K. G. GAUNTT D.P.M.

Practice address

410 Villa Rd
Newberg, OR 97132-1853

Phone

(503) 538-0466

NPI assigned

Jan 2, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Gail Shepherd

Title

Accounts Manager

Phone

(503) 538-0466

Specialties & licenses 1

Addresses

Other names 1

• Tuality Podiatry Doing business as

Tax ID family

K G Gauntt DPM2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• K G Gauntt DPM PC

  • Podiatrist
  • Newberg, OR
  • NPI 1275770349
  NPD tax ID

Practitioners 1

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

• Kim Gary Gauntt, D.P.M.

  • Podiatrist
  • Newberg, OR
  • NPI 1902908171
  NPD (past)

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

{
    "created_epoch": "1230854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230854400000",
    "number": "1871739482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 NE 4TH AVENUE",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971243127",
            "telephone_number": "503-538-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 VILLA RD",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971321853",
            "telephone_number": "503-538-0466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K. G. GAUNTT D.P.M.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-02",
        "last_updated": "2009-01-02",
        "status": "A",
        "authorized_official_last_name": "SHEPHERD",
        "authorized_official_first_name": "GAIL",
        "authorized_official_title_or_position": "ACCOUNTS MANAGER",
        "authorized_official_telephone_number": "503-538-0466",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OR",
            "license": "DP00197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tuality Podiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Linda Josten
• Victoria Grace Juarez
• Emily Juggert, LMT
• K G Gauntt DPM PC
• K G Gauntt DPM PC
• Kaiser Foundation Health Plan of the Northwest
• Cortni Kalick, LMT
• Daniel Chang Yun Kang, DPT
• Shannon Kaplan, MS-CCC SLP
• Karleen Swarztrauber

• Durable Medical Equipment & Medical Supplies in Newberg, OR
• Providers in Newberg, OR by specialty
• Durable Medical Equipment & Medical Supplies in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2009; 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.