NPIMap

Organization Active NPI

Be Well Acupuncture

  • General Practice Physician
  • Portland, OR
National Provider Identifier
1417484460
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
BE WELL ACUPUNCTURE
Practice address
3125 NE Holladay St # B
Portland, OR 97232-2504
Phone
(917) 843-2256
NPI assigned
May 20, 2017
Last updated
Jul 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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
Director
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 9

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Chiropractor 111N00000X
Nutritionist 133N00000X
Registered Dietitian 133V00000X
Acupuncturist 171100000X
Naturopath 175F00000X
General Practice Physician 208D00000X Primary
Physical Therapist 225100000X
Nurse Practitioner 363L00000X

Addresses

Primary practice location

3125 NE Holladay St # B
Portland, OR 97232-2504

Mailing address

3125 NE Holladay St # B
Portland, OR 97232-2504
Phone (917) 843-2256

Other practice location 1

2410 SE 10th Ave
Portland, OR 97214-4624
Phone (503) 217-4457

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220801000266 OR Part B Supplier - Clinic/Group Practice 4486036993 Receives reassigned benefits from 1 practitioner
Practice locations: Portland, OR

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 3

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": "1495238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719964800000",
    "number": "1417484460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 NE HOLLADAY ST # B",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322504",
            "telephone_number": "917-843-2256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 NE HOLLADAY ST # B",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322504",
            "telephone_number": "917-843-2256"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2410 SE 10th Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972144624",
            "country_code": "US",
            "telephone_number": "503-217-4457",
            "fax_number": "503-662-6420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BE WELL ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-20",
        "last_updated": "2024-07-03",
        "certification_date": "2024-06-20",
        "status": "A",
        "authorized_official_last_name": "BINGLEY",
        "authorized_official_first_name": "DESSA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "503-217-4457",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "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 Jul 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.