Active NPI
Daniel Carlos Espiritu, L.AC
- Acupuncturist
- Portland, OR
National Provider Identifier
1043513179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC150606
- Practice address
- 2133 NE Broadway St Ste 301
Portland, OR 97232-1878 - Phone
- (971) 803-0619
- NPI assigned
- Dec 11, 2010
- Last updated
- Oct 9, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC150606 | OR | Primary |
Addresses
Primary practice location
2133 NE Broadway St Ste 301
Portland, OR 97232-1878
Mailing address
9718 SE Stephens St
Portland, OR 97216-2522
Phone (971) 803-0619
Other practice location 1
3701 SE Milwaukie Ave
Portland, OR 97202-3835
Phone (503) 841-5323
Other names 1
- Daniel Carlos Espiritu
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC150606 | OR | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Wellness Center LLC | Past | Accepting new patients | |
| Advanced Wellness Center | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba The Advanced Wellness Center PDX
- Multi-Specialty Clinic/Center
- Portland, OR
- NPI 1275921660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696809600000",
"number": "1043513179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9718 SE STEPHENS ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972162522",
"telephone_number": "971-803-0619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2133 NE BROADWAY ST STE 301",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972321878",
"telephone_number": "971-803-0619"
}
],
"practiceLocations": [
{
"address_1": "3701 SE Milwaukie Ave",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972023835",
"country_code": "US",
"telephone_number": "503-841-5323",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ESPIRITU",
"first_name": "DANIEL",
"middle_name": "CARLOS",
"credential": "L.AC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-12-11",
"last_updated": "2023-10-09",
"certification_date": "2023-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "OR",
"license": "AC150606",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DANIEL",
"last_name": "ESPIRITU",
"middle_name": "CARLOS",
"credential": "L.AC",
"code": "2",
"type": "Professional Name"
}
]
}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 Oct 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.