Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Kim Gary Gauntt, DPM

Individual provider Podiatrist · NPI 1902908171

Mr. Kim Gary Gauntt, DPM is a Podiatry in Newberg, Oregon. Graduated from California School of Podiatric Medicine in 1998, 28 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
28
Trained at
California School of Podiatric Medicine
Licensed in
OR
In the registry since
2006
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

410 Villa Rd
Newberg, OR 97132-1904
Phone: (503) 538-0466
Fax: (503) 538-0913
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence DP00197 (OR)

Record details

NPI number1902908171
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedSeptember 1, 2006
Last updated in NPPESJanuary 16, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolCALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduated 1998 (28 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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