Dynamic Acupuncture LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

DYNAMIC ACUPUNCTURE LLC

Practice address

1829 NE Alberta St Ste a
Portland, OR 97211-5889

Phone

(503) 893-5711

Fax

(503) 296-5829

NPI assigned

Sep 16, 2019

Organization subpart

No

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

Authorized official

Name

Stephanie Gregory, LAC

Title

Owner, Licensed Acupuncturist

Phone

(503) 686-3059

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Stephanie Grant Acupunture LLC Former legal business name

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alyssa L Reed, LAC

  • Acupuncturist
  • Portland, OR
  • NPI 1437755022
  NPD
• Stephen Gregory, LAC

  • Acupuncturist
  • Portland, OR
  • NPI 1205173671
  NPD (past)
• Mallory A Harman, LAC

  • Acupuncturist
  • Portland, OR
  • NPI 1083175228
  NPD (past)

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

{
    "created_epoch": "1568592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568592000000",
    "number": "1053961698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1829 NE ALBERTA ST STE A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972115889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1829 NE ALBERTA ST STE A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972115889",
            "telephone_number": "503-893-5711",
            "fax_number": "503-296-5829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC ACUPUNCTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-16",
        "last_updated": "2019-09-16",
        "status": "A",
        "authorized_official_last_name": "GREGORY",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER, LICENSED ACUPUNCTURIST",
        "authorized_official_telephone_number": "503-686-3059",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500721654",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stephanie Grant Acupunture LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Sarah Scofield Atkins Dykes, DNP, CPNP-PC, PMHS
• Sarah Zenith Dykes, LPC
• Kurt Dykhuizen, D.O.
• Kathryn Dykstra
• Dylan P. Booth, DDS, PC
• Dynamic Massage Therapy LLC
• Dynamic Therapy Alliance, LLC
• Christina Dynamite, RN
• Devin Dyquisto
• Dyson Enterprises Inc

• Acupuncturist in Portland, OR
• Providers in Portland, OR by specialty
• Acupuncturist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; 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.