Kyle Roger Grunwald, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6395 Issued in OR

Practice address

12325 SW Horizon Blvd Ste 223
Beaverton, OR 97007-9474

Phone

(503) 747-3388

Fax

(503) 747-7534

NPI assigned

Sep 23, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dprchiro LLC

  • Chiropractor
  • Beaverton, OR
  • NPI 1043749658
  NPD (past)

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

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1982421897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 SW HUME ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972193758",
            "telephone_number": "208-964-4064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12325 SW HORIZON BLVD STE 223",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970079474",
            "telephone_number": "503-747-3388",
            "fax_number": "503-747-7534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUNWALD",
        "first_name": "KYLE",
        "middle_name": "ROGER",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "6395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Grover, PHD
• Growth Endeavor PC
• Growth Residential LLC
• Mary M Gruen, PT
• Yana Gruntkovskaya, LMT
• Zhen Gu
• Lillian Katrina Guarrera
• Petya Gueordjeva, M.D.
• Nicole Guerra, RDH
• John Palma Guerreiro, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.