Individual provider Active NPI

Gregory Paul Garcia, ND, LAC

  • Naturopath
  • Tigard, OR
National Provider Identifier
1073627402
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
693 Issued in OR
Practice address
7440 SW Hunziker Rd Ste E
Tigard, OR 97223-8237
Phone
(503) 804-4797
Fax
(503) 673-1085
NPI assigned
Aug 19, 2006
Last updated
Sep 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC00538 OR
Naturopath 175F00000X 693 OR Primary

Addresses

Primary practice location

7440 SW Hunziker Rd Ste E
Tigard, OR 97223-8237

Mailing address

7326 SE 30TH Ave
Portland, OR 97202-8837
Phone (503) 804-4797

Other practice location 1

7326 SE 30th Ave
Portland, OR 97202-8837
Phone (503) 804-4797

Other identifiers 1

IdentifierTypeStateIssuer
008099MedicaidOR

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
AC00538ORMDAcupuncturist
693ORMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Gregory Garcia, LLC Acupuncturist CurrentSince Sep 15, 2024 Accepting new patients
The Psychotherapy Associates of Oregon PastSince Sep 15, 2024 Accepting new patients

Locations

7440 SW Hunziker Rd
Ste E
Tigard, OR 97223
Phone (503) 694-9662

Interoperability endpoints

  • Direct secure messaging: gregorygarciandlacllc.gregorygarcia@148187.advancedmd-direct.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1073627402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7326 SE 30TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972028837",
            "telephone_number": "503-804-4797",
            "fax_number": "503-289-2897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7440 SW HUNZIKER RD STE E",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238237",
            "telephone_number": "503-804-4797",
            "fax_number": "503-673-1085"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7326 SE 30th Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972028837",
            "country_code": "US",
            "telephone_number": "503-804-4797",
            "fax_number": "503-673-1085",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "GREGORY",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "ND, LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC00538",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008099",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; 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.