Active NPI
Jordan Schreiber, L.AC.
- Acupuncturist
- Jacksonville, OR
National Provider Identifier
1437358843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 11022
- Practice address
- 580 Blackstone Aly
Jacksonville, OR 97530-9007 - Phone
- (541) 838-0074
- NPI assigned
- Jul 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | AC201360 | OR | |
| Acupuncturist | 171100000X | 11022 | CA | Primary |
Addresses
Primary practice location
580 Blackstone Aly
Jacksonville, OR 97530-9007
Mailing address
7530 Sterling Creek Rd
Jacksonville, OR 97530-8927
Phone (831) 325-9690
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 |
|---|---|---|---|
| AC201360 | OR | MD | Acupuncturist |
| 11022 | CA | MD | Registered Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711497600000",
"number": "1437358843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7530 STERLING CREEK RD",
"city": "JACKSONVILLE",
"state": "OR",
"postal_code": "975308927",
"telephone_number": "831-325-9690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "580 BLACKSTONE ALY",
"city": "JACKSONVILLE",
"state": "OR",
"postal_code": "975309007",
"telephone_number": "541-838-0074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHREIBER",
"first_name": "JORDAN",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-16",
"last_updated": "2024-03-27",
"certification_date": "2024-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "OR",
"license": "AC201360",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "11022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.