Active NPI
Rod Frederick Richmond, LAC
- Acupuncturist
- Tigard, OR
National Provider Identifier
1619664281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC210861
- Practice address
- 9600 SW Oak St Ste 410
Tigard, OR 97223-6581 - Phone
- (503) 308-8676
- NPI assigned
- Apr 24, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC210861 | OR | Primary |
Addresses
Primary practice location
9600 SW Oak St Ste 410
Tigard, OR 97223-6581
Mailing address
7709 SW Pfaffle St Apt 84
Portland, OR 97223-2403
Phone (808) 443-7354
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
| License | State | Type | Specialty |
|---|---|---|---|
| AC210861 | OR | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ikigai Wellness LLC | Acupuncturist | Current | Accepting new patients |
| Kwan Yin Healing Arts Center | Acupuncturist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Acupuncturist
- Tigard, OR
- NPI 1487343299
-
- Acupuncturist
- Portland, OR
- NPI 1417122771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682294400000",
"number": "1619664281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7709 SW PFAFFLE ST APT 84",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972232403",
"telephone_number": "808-443-7354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9600 SW OAK ST STE 410",
"city": "TIGARD",
"state": "OR",
"postal_code": "972236581",
"telephone_number": "503-308-8676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHMOND",
"first_name": "ROD",
"middle_name": "FREDERICK",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-04-24",
"last_updated": "2023-04-24",
"certification_date": "2023-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "OR",
"license": "AC210861",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tigard, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.