NPIMap

Individual provider Active NPI

Casey Matthew Aron, L.AC

  • Acupuncturist
  • Portland, OR
National Provider Identifier
1083912919
Registry record updated Mar 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC153118 Issued in OR
Practice address
4203 SE Hawthorne Blvd Ste a
Portland, OR 97215-3160
Phone
(503) 233-4102
NPI assigned
Mar 1, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC153118 OR Primary

Addresses

Primary practice location

4203 SE Hawthorne Blvd Ste a
Portland, OR 97215-3160

Mailing address

4203 SE Hawthorne Blvd Ste a
Portland, OR 97215-3160
Phone (503) 233-4102

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
AC153118ORMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Casey Aron Acupuncture LLC Acupuncturist Current Accepting new patients

Locations

4203 SE Hawthorne Blvd
Ste A
Portland, OR 97215
Phone (503) 233-4102

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1298937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298937600000",
    "number": "1083912919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4203 SE HAWTHORNE BLVD STE A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972153160",
            "telephone_number": "503-233-4102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4203 SE HAWTHORNE BLVD STE A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972153160",
            "telephone_number": "503-233-4102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARON",
        "first_name": "CASEY",
        "middle_name": "MATTHEW",
        "credential": "L.AC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-01",
        "last_updated": "2011-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC153118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 1, 2011; 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.