Individual provider Active NPI

Susan Barbara Dewhitt, LAC

  • Acupuncturist
  • Eugene, OR
National Provider Identifier
1326257916
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC00390 Issued in OR
Practice address
1034 Lawrence St
Eugene, OR 97401-3440
Phone
(541) 284-2084
Fax
(541) 485-2087
NPI assigned
May 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC00390 OR Primary

Addresses

Primary practice location

1034 Lawrence St
Eugene, OR 97401-3440

Mailing address

2945 Eldridge Ave
Eugene, OR 97405-5510
Phone (541) 913-1921

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
AC00390ORMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1326257916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2945 ELDRIDGE AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974055510",
            "telephone_number": "541-913-1921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 LAWRENCE ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013440",
            "telephone_number": "541-284-2084",
            "fax_number": "541-485-2087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWHITT",
        "first_name": "SUSAN",
        "middle_name": "BARBARA",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC00390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; 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.