NPIMap

Organization Active NPI

Be Well Acupuncture

  • Chiropractor
  • Portland, OR
National Provider Identifier
1134860331
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BE WELL ACUPUNCTURE
Practice address
10260 SW Greenburg Rd Ste 470
Portland, OR 97223-5500
Phone
(503) 217-4457
Fax
(503) 662-6420
NPI assigned
Apr 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Authorized official

Name
Dessa Marie Bingley, LAC
Title
Owner
Phone
(917) 843-2256

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

10260 SW Greenburg Rd Ste 470
Portland, OR 97223-5500

Mailing address

3125 NE Holladay St Unit B
Portland, OR 97232-2504
Phone (917) 843-2256

Other identifiers 1

IdentifierTypeStateIssuer
500725619MedicaidOR

Other names 1

  • Be Well Holistic Health Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL bewellandheal.com Direct

National Provider Directory

National Provider Directory
Tax ID family
Be Well Acupuncture11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10260 SW Greenburg Rd
Ste 470
Portland, OR 97223

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649116800000",
    "number": "1134860331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 NE HOLLADAY ST UNIT B",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322504",
            "telephone_number": "917-843-2256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10260 SW GREENBURG RD STE 470",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972235500",
            "telephone_number": "503-217-4457",
            "fax_number": "503-662-6420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BE WELL ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-03",
        "status": "A",
        "authorized_official_last_name": "BINGLEY",
        "authorized_official_first_name": "DESSA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-843-2256",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500725619",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "bewellandheal.com",
            "affiliation": "N",
            "endpointDescription": "bewellandheal.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3125 NE Holladay St Unit B",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972322504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Be Well Holistic Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 5, 2022; 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.