Organization Active NPI

Dragonheart Acupuncture

  • Clinic/Center
  • Beaverton, OR
National Provider Identifier
1548086846
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
DRAGONHEART ACUPUNCTURE
Practice address
3835 SW 185TH Ave Ste 200
Beaverton, OR 97078-1553
Phone
(503) 591-8855
Fax
(503) 591-1595
NPI assigned
Dec 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Authorized official

Name
Tracy Johnson, L.AC.
Title
Acupuncturist/Owner
Phone
(509) 591-8855

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

3835 SW 185TH Ave Ste 200
Beaverton, OR 97078-1553

Mailing address

3835 SW 185TH Ave Ste 200
Beaverton, OR 97078-1553
Phone (503) 591-8855

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1733097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733097600000",
    "number": "1548086846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3835 SW 185TH AVE STE 200",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970781553",
            "telephone_number": "503-591-8855",
            "fax_number": "503-591-1595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3835 SW 185TH AVE STE 200",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970781553",
            "telephone_number": "503-591-8855",
            "fax_number": "503-591-1595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRAGONHEART ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-02",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "ACUPUNCTURIST/OWNER",
        "authorized_official_telephone_number": "509-591-8855",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "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 Dec 2, 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.

Verify at the official NPI Registry.