NPIMap

Organization Active NPI

Moon and Lotus LLC

  • Acupuncturist
  • Eugene, OR
National Provider Identifier
1629143300
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC00399 Issued in OR
Legal business name
MOON AND LOTUS LLC
Practice address
1844 Lincoln St Apt 1
Eugene, OR 97401-4598
Phone
(541) 345-2220
Fax
(541) 344-5531
NPI assigned
Nov 21, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Kamala QualeNPI 1932273315
Title
Owner
Phone
(541) 345-2220

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC00399 OR Primary

Addresses

Primary practice location

1844 Lincoln St Apt 1
Eugene, OR 97401-4598

Mailing address

1844 Lincoln St Apt 1
Eugene, OR 97401-4598

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629143300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1844 LINCOLN ST APT 1",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1844 LINCOLN ST APT 1",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014598",
            "telephone_number": "541-345-2220",
            "fax_number": "541-344-5531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOON AND LOTUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "QUALE",
        "authorized_official_first_name": "KAMALA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-345-2220"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC00399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.