Active NPI
Robert Jay Schwartz, ND, LAC
- Acupuncturist
- The Dalles, OR
National Provider Identifier
1104878719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC00067
- Practice address
- 1615 E 12TH St
The Dalles, OR 97058-3212 - Phone
- (541) 296-8988
- Fax
- (541) 296-8988
- NPI assigned
- May 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC00067 | OR | Primary |
| Naturopath | 175F00000X | 0674 | OR |
Addresses
Primary practice location
1615 E 12TH St
The Dalles, OR 97058-3212
Mailing address
1615 E 12TH St
The Dalles, OR 97058-3212
Phone (541) 296-8988
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 141762 | Medicaid | OR |
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 |
|---|---|---|---|
| AC00067 | OR | MD | Acupuncturist |
| 0674 | OR | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1104878719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1615 E 12TH ST",
"city": "THE DALLES",
"state": "OR",
"postal_code": "970583212",
"telephone_number": "541-296-8988",
"fax_number": "541-296-8988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1615 E 12TH ST",
"city": "THE DALLES",
"state": "OR",
"postal_code": "970583212",
"telephone_number": "541-296-8988",
"fax_number": "541-296-8988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHWARTZ",
"first_name": "ROBERT",
"middle_name": "JAY",
"name_prefix": "Dr.",
"credential": "ND, LAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-16",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "OR",
"license": "AC00067",
"primary": true
},
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "OR",
"license": "0674",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "141762",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in The Dalles, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.