Active NPI
Joseph L Soprani, L.AC.
- Acupuncturist
- Portland, OR
National Provider Identifier
1215201827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC00143
- Practice address
- 811 NW 20TH Ave
Suite 206
Portland, OR 97209-1443 - Phone
- (503) 241-7050
- Fax
- (503) 241-7050
- NPI assigned
- Feb 28, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC00143 | OR | Primary |
Addresses
Primary practice location
811 NW 20TH Ave
Suite 206
Portland, OR 97209-1443
Mailing address
811 NW 20TH Ave
Suite 206
Portland, OR 97209-1443
Phone (503) 241-7050
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 |
|---|---|---|---|
| AC00143 | OR | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Five Elements Healthcare, Inc. | Acupuncturist | Past | Accepting new patients |
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.
-
- Acupuncturist
- Portland, OR
- NPI 1598897266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330387200000",
"number": "1215201827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "811 NW 20TH AVE",
"address_2": "SUITE 206",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972091443",
"telephone_number": "503-241-7050",
"fax_number": "503-241-7050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "811 NW 20TH AVE",
"address_2": "SUITE 206",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972091443",
"telephone_number": "503-241-7050",
"fax_number": "503-241-7050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOPRANI",
"first_name": "JOSEPH",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "L.AC.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-02-28",
"last_updated": "2012-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "OR",
"license": "AC00143",
"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 Feb 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.