NPIMap

Organization Active NPI

Inward Bound Wellness Center

  • Health Maintenance Organization
  • Ashland, OR
National Provider Identifier
1609027481
Registry record updated Oct 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
13700 Issued in OR
Legal business name
INWARD BOUND WELLNESS CENTER
Practice address
611 Siskiyou Blvd
Suite 10
Ashland, OR 97520-2151
Phone
(541) 488-0108
NPI assigned
Oct 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2008

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

Authorized official

Name
Mr. Steven Dominguez, LMTNPI 1043517774
Title
Owner/Massage Therapist
Phone
(541) 778-1743

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 13700 OR Primary

Addresses

Primary practice location

611 Siskiyou Blvd
Suite 10
Ashland, OR 97520-2151

Mailing address

611 Siskiyou Blvd
Suite 10
Ashland, OR 97520-2151
Phone (541) 488-0108

National Provider Directory

National Provider Directory

Locations

611 Siskiyou Blvd
Ste 10
Ashland, OR 97520
Phone (541) 488-0108

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": "1223510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223510400000",
    "number": "1609027481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 SISKIYOU BLVD",
            "address_2": "SUITE 10",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975202151",
            "telephone_number": "541-488-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 SISKIYOU BLVD",
            "address_2": "SUITE 10",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975202151",
            "telephone_number": "541-488-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INWARD BOUND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-09",
        "last_updated": "2008-10-09",
        "status": "A",
        "authorized_official_last_name": "DOMINGUEZ",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER/MASSAGE THERAPIST",
        "authorized_official_telephone_number": "541-778-1743",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "OR",
            "license": "13700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2008; 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.