Individual provider Active NPI

Angeleia E Tipton, DTCM

  • Acupuncturist
  • Bend, OR
National Provider Identifier
1245989607
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC207999 Issued in OR
Practice address
339 SW Century Dr Ste 103
Bend, OR 97702-1199
Phone
(541) 690-5100
NPI assigned
Mar 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC207999 OR Primary

Addresses

Primary practice location

339 SW Century Dr Ste 103
Bend, OR 97702-1199

Mailing address

339 SW Century Dr Ste 103
Bend, OR 97702-1199
Phone (541) 690-5100

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@deschutesacupuncture.com Direct

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

LicenseStateTypeSpecialty
AC207999ORMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Deschutes Acupuncture & Chinese Medicine, Inc Acupuncturist CurrentSince Oct 22, 2023 Accepting new patients

Locations

339 SW Century Dr
Ste 103
Bend, OR 97702
Phone (541) 322-6869

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.

NPI Registry JSON

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

{
    "created_epoch": "1647907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1245989607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 SW CENTURY DR STE 103",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021199",
            "telephone_number": "541-690-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 SW CENTURY DR STE 103",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021199",
            "telephone_number": "541-690-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIPTON",
        "first_name": "ANGELEIA",
        "middle_name": "E",
        "credential": "DTCM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-22",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC207999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@deschutesacupuncture.com",
            "affiliation": "N",
            "endpointDescription": "Deschutes Acupuncture and Chinese Medicine",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "339 SW Century Dr Ste 103",
            "city": "Bend",
            "state": "OR",
            "country_code": "US",
            "postal_code": "977021199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.