NPIMap

Organization Active NPI

Eng Acupuncture, LLC

  • Acupuncturist
  • Silverton, OR
National Provider Identifier
1255714754
Registry record updated Feb 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC169428 Issued in OR
Legal business name
ENG ACUPUNCTURE, LLC
Practice address
612 N 1St St
Silverton, OR 97381-1404
Phone
(503) 873-6705
NPI assigned
Jul 1, 2015
Last updated
Feb 17, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2016

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

Authorized official

Name
Mika Watanabe, L.AC.NPI 1518366848
Title
Acupuncturist
Phone
(541) 255-6084

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC169428 OR Primary

Addresses

Primary practice location

612 N 1St St
Silverton, OR 97381-1404

Mailing address

612 N 1St St
Silverton, OR 97381-1404

National Provider Directory

National Provider Directory
Tax ID family
Eng Acupuncture Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

612 N 1st St
Silverton, OR 97381
Phone (503) 873-1963

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455667200000",
    "number": "1255714754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 N 1ST ST",
            "city": "SILVERTON",
            "state": "OR",
            "postal_code": "973811404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 N 1ST ST",
            "city": "SILVERTON",
            "state": "OR",
            "postal_code": "973811404",
            "telephone_number": "503-873-6705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENG ACUPUNCTURE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-01",
        "last_updated": "2016-02-17",
        "status": "A",
        "authorized_official_last_name": "WATANABE",
        "authorized_official_first_name": "MIKA",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "541-255-6084",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC169428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; 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.