Organization Active NPI

Takashi Yamamoto L.Ac. PC

  • Acupuncturist
  • Salem, OR
National Provider Identifier
1538459649
Registry record updated Apr 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
TAKASHI YAMAMOTO L.AC. PC
Practice address
1765 State St
Salem, OR 97301-4342
Phone
(503) 480-9697
Fax
(503) 588-4133
NPI assigned
Apr 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2011

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

Authorized official

Name
Takashi Yamamoto, L.AC.
Title
President
Phone
(503) 480-9697

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

1765 State St
Salem, OR 97301-4342

Mailing address

1765 State St
Salem, OR 97301-4342
Phone (503) 480-9697

Other names 1

  • Yamamoto Oriental Medicine Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

1765 State St
Salem, OR 97301
Phone (503) 763-3528

NPI Registry JSON

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

{
    "created_epoch": "1302393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302393600000",
    "number": "1538459649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1765 STATE ST",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973014342",
            "telephone_number": "503-480-9697",
            "fax_number": "503-588-4133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1765 STATE ST",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973014342",
            "telephone_number": "503-480-9697",
            "fax_number": "503-588-4133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAKASHI YAMAMOTO L.AC. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-10",
        "last_updated": "2011-04-10",
        "status": "A",
        "authorized_official_last_name": "YAMAMOTO",
        "authorized_official_first_name": "TAKASHI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-480-9697",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yamamoto Oriental Medicine Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2011; 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.