Individual provider Active NPI

Morgan Reed Kinnear, DC

  • Chiropractor
  • Portland, OR
National Provider Identifier
1902441538
Registry record updated Nov 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6022 Issued in OR
Practice address
10915 SE Stark St
Portland, OR 97216-3348
Phone
(503) 261-1120
NPI assigned
Nov 6, 2019
Last updated
Nov 6, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6022 OR Primary

Addresses

Primary practice location

10915 SE Stark St
Portland, OR 97216-3348

Mailing address

10915 SE Stark St
Portland, OR 97216-3348
Phone (503) 261-1120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211122003081 WA Practitioner - Chiropractic 8729413182 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shelton Chiropractic and Wellness LLCGroup PAC ID 1759734635, 3 clinicians

Practice addresses (Care Compare)

1635 Olympic Hwy N
Suite 100
Shelton, WA 98584-3065
Phone (360) 426-8060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6022ORMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Pivot Health Acupuncture CurrentSince Jan 28, 2024 Accepting new patients
Shelton Chiropractic and Wellness LLC Chiropractor CurrentSince Mar 11, 2024 Accepting new patients
Chiropractic Lifestyle Center Chiropractor CurrentSince Nov 15, 2021 Accepting new patients
Damon J Ernst Chiropractor Past Accepting new patients

Locations

8810 SE Sunnybrook Blvd
Ste 100
Clackamas, OR 97015
Phone (503) 261-1120

991 NE Riddell Rd
Bremerton, WA 98310
Phone (360) 373-2225

1635 Olympic Hwy N
Shelton, WA 98584
Phone (360) 426-8060

1635 Olympic Hwy N
Ste 100
Shelton, WA 98584
Phone (360) 426-8060

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1572998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1902441538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10915 SE STARK ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972163348",
            "telephone_number": "503-261-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10915 SE STARK ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972163348",
            "telephone_number": "503-261-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINNEAR",
        "first_name": "MORGAN",
        "middle_name": "REED",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-06",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "6022",
            "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 6, 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.