Active NPI
James Peyton Cleaver, LAC.
- Acupuncturist
- Portland, OR
National Provider Identifier
1104957687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC00377
- Practice address
- 2232 NW Pettygrove St
Portland, OR 97210-2608 - Phone
- (503) 552-2085
- NPI assigned
- Mar 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC00377 | OR | Primary |
Addresses
Primary practice location
2232 NW Pettygrove St
Portland, OR 97210-2608
Mailing address
4122 NE Flanders St
Portland, OR 97232-3326
Phone (503) 230-1184
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 |
|---|---|---|---|
| AC00377 | OR | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104957687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4122 NE FLANDERS ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972323326",
"telephone_number": "503-230-1184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2232 NW PETTYGROVE ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972102608",
"telephone_number": "503-552-2085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEAVER",
"first_name": "JAMES",
"middle_name": "PEYTON",
"name_prefix": "Mr.",
"credential": "LAC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "OR",
"license": "AC00377",
"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 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.