Individual provider Active NPI

Russell J Kort, D.C.

  • Chiropractor
  • Sherwood, OR
National Provider Identifier
1962427708
Registry record updated Feb 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
273147 Issued in OR
Practice address
20407 SW Borchers Dr
Suite 201
Sherwood, OR 97140-8760
Phone
(503) 625-5678
Fax
(503) 925-8302
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 273147 OR Primary

Addresses

Primary practice location

20407 SW Borchers Dr
Suite 201
Sherwood, OR 97140-8760

Mailing address

20407 SW Borchers Dr Ste 201
Sherwood, OR 97140-8988
Phone (503) 625-5678

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
273147ORMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1962427708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20407 SW BORCHERS DR STE 201",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971408988",
            "telephone_number": "503-625-5678",
            "fax_number": "503-925-8302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20407 SW BORCHERS DR",
            "address_2": "SUITE 201",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971408760",
            "telephone_number": "503-625-5678",
            "fax_number": "503-925-8302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORT",
        "first_name": "RUSSELL",
        "middle_name": "J",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "273147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherwood, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; 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.