Organization Active NPI

Luna Acupuncture & Wellness Center LLC

  • Clinic/Center
  • Beaverton, OR
National Provider Identifier
1487026480
Registry record updated Oct 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
AC175035 Issued in OR
Legal business name
LUNA ACUPUNCTURE & WELLNESS CENTER LLC
Practice address
14631 SW Millikan Way
Suite 6
Beaverton, OR 97003-2999
Phone
(503) 853-2866
NPI assigned
Oct 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2015

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

Authorized official

Name
Mr. James Carter, L.AC
Title
Owner & Acupuncturist
Phone
(503) 853-2866

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X AC175035 OR Primary

Addresses

Primary practice location

14631 SW Millikan Way
Suite 6
Beaverton, OR 97003-2999

Mailing address

14631 SW Millikan Way
Suite 6
Beaverton, OR 97003-2999
Phone (503) 853-2866

National Provider Directory

National Provider Directory

Locations

14631 SW Millikan Way
Ste 6
Beaverton, OR 97003
Phone (503) 853-2866

NPI Registry JSON

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

{
    "created_epoch": "1446076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446076800000",
    "number": "1487026480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14631 SW MILLIKAN WAY",
            "address_2": "SUITE 6",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970032999",
            "telephone_number": "503-853-2866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14631 SW MILLIKAN WAY",
            "address_2": "SUITE 6",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970032999",
            "telephone_number": "503-853-2866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUNA ACUPUNCTURE & WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-29",
        "last_updated": "2015-10-29",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER & ACUPUNCTURIST",
        "authorized_official_telephone_number": "503-853-2866",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OR",
            "license": "AC175035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2015; 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.