Active NPI
Anton Wittinger, LAC., LMT
- Acupuncturist
- Portland, OR
National Provider Identifier
1336586247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC165016
- Practice address
- 8040 NE Sandy Blvd
Suite 100a
Portland, OR 97213-7100 - Phone
- (503) 841-6079
- NPI assigned
- May 31, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC165016 | OR | Primary |
| Massage Therapist | 225700000X | 13040 | OR |
Addresses
Primary practice location
8040 NE Sandy Blvd
Suite 100a
Portland, OR 97213-7100
Mailing address
8040 NE Sandy Blvd
Suite 100a
Portland, OR 97213-7100
Phone (503) 841-6079
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 |
|---|---|---|---|
| AC165016 | OR | MD | Acupuncturist |
| 13040 | OR | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407801600000",
"number": "1336586247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8040 NE SANDY BLVD",
"address_2": "SUITE 100A",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972137100",
"telephone_number": "503-841-6079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8040 NE SANDY BLVD",
"address_2": "SUITE 100A",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972137100",
"telephone_number": "503-841-6079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITTINGER",
"first_name": "ANTON",
"credential": "LAC., LMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-31",
"last_updated": "2014-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "OR",
"license": "AC165016",
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "13040",
"primary": false
}
],
"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 Aug 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.