Active NPI
Ryan James Girard, LAC
- Acupuncturist
- Gold Beach, OR
National Provider Identifier
1124326590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC152617
- Practice address
- 29692 Ellensburg Ave
Gold Beach, OR 97444-8701 - Phone
- (541) 247-2030
- NPI assigned
- Mar 8, 2011
- 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 | AC152617 | OR | Primary |
Addresses
Primary practice location
29692 Ellensburg Ave
Gold Beach, OR 97444-8701
Mailing address
PO Box 429
Port Orford, OR 97465-0429
Phone (541) 373-0272
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 |
|---|---|---|---|
| AC152617 | OR | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299542400000",
"number": "1124326590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 429",
"city": "PORT ORFORD",
"state": "OR",
"postal_code": "974650429",
"telephone_number": "541-373-0272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29692 ELLENSBURG AVE",
"city": "GOLD BEACH",
"state": "OR",
"postal_code": "974448701",
"telephone_number": "541-247-2030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIRARD",
"first_name": "RYAN",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-03-08",
"last_updated": "2011-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "OR",
"license": "AC152617",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gold Beach, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.