Organization Active NPI

Roseburg Acupuncture LLC

  • Acupuncturist
  • Roseburg, OR
National Provider Identifier
1356000426
Registry record updated Dec 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
ROSEBURG ACUPUNCTURE LLC
Practice address
727 SE Cass Ave
Roseburg, OR 97470-4982
Phone
(302) 763-2725
NPI assigned
Dec 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2021

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

Authorized official

Name
Stephanie WirthNPI 1154190403
Title
Owner
Phone
(302) 763-2725

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
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

727 SE Cass Ave
Roseburg, OR 97470-4982

Mailing address

663 SE Parrott St
Roseburg, OR 97470-3458
Phone (302) 763-2725

National Provider Directory

National Provider Directory

Locations

727 SE Cass Ave
Roseburg, OR 97470
Phone (302) 763-2725

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1639526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639526400000",
    "number": "1356000426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "663 SE PARROTT ST",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974703458",
            "telephone_number": "302-763-2725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 SE CASS AVE",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974704982",
            "telephone_number": "302-763-2725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEBURG ACUPUNCTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-15",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A",
        "authorized_official_last_name": "WIRTH",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-763-2725"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseburg, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; 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.