Active NPI
Beau J Vandendolder, L.AC
- Acupuncturist
- Ashland, OR
National Provider Identifier
1659615920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC150611
- Practice address
- 153 Clear Creek Dr
Ashland, OR 97520-1897 - Phone
- (970) 222-9216
- NPI assigned
- Nov 26, 2012
- 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 | AC150611 | OR | Primary |
Addresses
Primary practice location
153 Clear Creek Dr
Ashland, OR 97520-1897
Mailing address
1468 Windsor St
Ashland, OR 97520-3444
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 |
|---|---|---|---|
| AC150611 | OR | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Middleway Medicine | Acupuncturist | Past | Accepting new patients |
Organizations & group practices 1
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
- Talent, OR
- NPI 1316473176
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776729600000",
"number": "1659615920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1468 WINDSOR ST",
"city": "ASHLAND",
"state": "OR",
"postal_code": "975203444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "153 CLEAR CREEK DR",
"city": "ASHLAND",
"state": "OR",
"postal_code": "975201897",
"telephone_number": "970-222-9216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDENDOLDER",
"first_name": "BEAU",
"middle_name": "J",
"credential": "L.AC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-11-26",
"last_updated": "2026-04-21",
"certification_date": "2026-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "OR",
"license": "AC150611",
"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 Apr 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.