NPIMap

Organization Active NPI

Be Well Acupuncture

Doing business as Be Well Holistic Health

  • Acupuncturist
  • Portland, OR
National Provider Identifier
1336878875
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
BE WELL ACUPUNCTURE
Doing business as
Be Well Holistic Health
Practice address
3735 SE Division St
Portland, OR 97202-1547
Phone
(503) 217-4457
NPI assigned
Jun 9, 2022
Last updated
Jun 9, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2022

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

Authorized official

Name
Dessa Marie Bingley, LACNPI 1912301086
Title
Owner
Phone
(503) 217-4457

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X Primary

Addresses

Primary practice location

3735 SE Division St
Portland, OR 97202-1547

Mailing address

3125 NE Holladay St Unit B
Portland, OR 97232-2504
Phone (503) 217-4457

Other identifiers 2

IdentifierTypeStateIssuer
500760428MedicaidOR
500734873MedicaidOR

Other names 1

  • Be Well Holistic Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Be Well Acupuncture11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Practitioners & affiliated clinicians

Practitioners 2

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": "1654732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654732800000",
    "number": "1336878875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 NE HOLLADAY ST UNIT B",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322504",
            "telephone_number": "503-217-4457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3735 SE DIVISION ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972021547",
            "telephone_number": "503-217-4457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BE WELL ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-09",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A",
        "authorized_official_last_name": "BINGLEY",
        "authorized_official_first_name": "DESSA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-217-4457",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500760428",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500734873",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Be Well Holistic Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 9, 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.