Organization Active NPI

Maxxed Out Acupuncture & Wellness

  • Acupuncturist
  • Portland, OR
National Provider Identifier
1013364140
Registry record updated May 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC174780 Issued in OR
Legal business name
MAXXED OUT ACUPUNCTURE & WELLNESS
Practice address
3912 N Mississippi Ave
Portland, OR 97227-1163
Phone
(503) 975-5327
NPI assigned
May 18, 2016
Last updated
May 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2016

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

Authorized official

Name
Cody Begdorian, LAC
Title
Owner - Licensed Acupuncturist
Phone
(503) 975-5327

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC174780 OR Primary

Addresses

Primary practice location

3912 N Mississippi Ave
Portland, OR 97227-1163

Mailing address

3912 N. Mississippi
Portland, OR 97227

National Provider Directory

National Provider Directory

Locations

3912 N Mississippi Ave
Portland, OR 97227
Phone (503) 975-5327

NPI Registry JSON

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

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463529600000",
    "number": "1013364140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3912 N. MISSISSIPPI",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3912 N MISSISSIPPI AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271163",
            "telephone_number": "503-975-5327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXXED OUT ACUPUNCTURE & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-18",
        "last_updated": "2016-05-18",
        "status": "A",
        "authorized_official_last_name": "BEGDORIAN",
        "authorized_official_first_name": "CODY",
        "authorized_official_title_or_position": "OWNER - LICENSED ACUPUNCTURIST",
        "authorized_official_telephone_number": "503-975-5327",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC174780",
            "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 May 18, 2016; 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.