Organization Active NPI

Dragonheart Family Healthcare, LLC

Doing business as Dragonheart Herbs & Natural Medicine

  • Naturopath
  • Cannon Beach, OR
National Provider Identifier
1043489826
Registry record updated Aug 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
1590 Issued in OR
Legal business name
DRAGONHEART FAMILY HEALTHCARE, LLC
Doing business as
Dragonheart Herbs & Natural Medicine
Practice address
231 N Hemlock St
Suite 106
Cannon Beach, OR 97110-1465
Phone
(503) 436-0335
Fax
(503) 436-0604
NPI assigned
Feb 26, 2008
Last updated
Aug 2, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
DRAGONHEART FAMILY HEALTHCARE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 2, 2012

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

Authorized official

Name
Dr. Seth A Goldstein, DCNPI 1063489508
Title
Chiropractic Physician
Phone
(503) 262-8895

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3315 OR
Naturopath 175F00000X 1590 OR Primary

Addresses

Primary practice location

231 N Hemlock St
Suite 106
Cannon Beach, OR 97110-1465

Mailing address

PO Box 1465
Cannon Beach, OR 97110-1465
Phone (503) 436-0335

Other identifiers 5

IdentifierTypeStateIssuer
1063489508OtherORNPI
182758MedicaidOR
AC01274OtherORAMA
218639MedicaidOR
1497933592OtherORNPI

Other names 1

  • Dragonheart Herbs & Natural Medicine Doing business as

National Provider Directory

National Provider Directory
Part of
Dragonheart Family Health

Locations

615 Broadway St
Ste 211
Seaside, OR 97138
Phone (503) 738-9901

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343865600000",
    "number": "1043489826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1465",
            "city": "CANNON BEACH",
            "state": "OR",
            "postal_code": "971101465",
            "telephone_number": "503-436-0335",
            "fax_number": "503-436-0604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 N HEMLOCK ST",
            "address_2": "SUITE 106",
            "city": "CANNON BEACH",
            "state": "OR",
            "postal_code": "971101465",
            "telephone_number": "503-436-0335",
            "fax_number": "503-436-0604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRAGONHEART FAMILY HEALTHCARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DRAGONHEART FAMILY HEALTHCARE, LLC",
        "enumeration_date": "2008-02-26",
        "last_updated": "2012-08-02",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "SETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "503-262-8895",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3315",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "1590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1063489508",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182758",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMA",
            "identifier": "AC01274",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "218639",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1497933592",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dragonheart Herbs & Natural Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cannon Beach, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2012; 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.