Individual provider Active NPI

Michael Balogh, L.AC.

  • Acupuncturist
  • Beaverton, OR
National Provider Identifier
1528332236
Registry record updated Feb 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC156571 Issued in OR
Practice address
6225 SW Wilson Ave
Beaverton, OR 97008-4461
Phone
(503) 515-4457
Fax
(503) 277-2245
NPI assigned
Feb 27, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC156571 OR Primary

Addresses

Primary practice location

6225 SW Wilson Ave
Beaverton, OR 97008-4461

Mailing address

6225 SW Wilson Ave
Beaverton, OR 97008-4461
Phone (503) 515-4457

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

LicenseStateTypeSpecialty
AC156571ORMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Bounce Back Acupuncture Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1330300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330300800000",
    "number": "1528332236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6225 SW WILSON AVE",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970084461",
            "telephone_number": "503-515-4457",
            "fax_number": "503-277-2245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6225 SW WILSON AVE",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970084461",
            "telephone_number": "503-515-4457",
            "fax_number": "503-277-2245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALOGH",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-27",
        "last_updated": "2012-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC156571",
            "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 Feb 27, 2012; 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.