Individual provider Active NPI

Donna L Stancil, LAC

  • Acupuncturist
  • Bend, OR
National Provider Identifier
1053461582
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
ACOO580 Issued in OR
Practice address
740 NW Colorado Ave
Bend, OR 97701-3291
Phone
(541) 388-4822
Fax
(541) 388-4805
NPI assigned
Jan 10, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X ACOO580 OR Primary

Addresses

Primary practice location

740 NW Colorado Ave
Bend, OR 97701-3291

Mailing address

61158 Chuckanut Dr
Bend, OR 97702-9061
Phone (541) 312-2933

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

LicenseStateTypeSpecialty
ACOO580ORMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053461582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61158 CHUCKANUT DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977029061",
            "telephone_number": "541-312-2933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 NW COLORADO AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977013291",
            "telephone_number": "541-388-4822",
            "fax_number": "541-388-4805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANCIL",
        "first_name": "DONNA",
        "middle_name": "L",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "ACOO580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.