NPIMap

Organization Active NPI

Atsa Acupuncture

  • Clinic/Center
  • Mount Angel, OR
National Provider Identifier
1679394787
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ATSA ACUPUNCTURE
Practice address
690 N Main St
Mount Angel, OR 97362-9518
Phone
(541) 550-9695
Fax
(503) 845-9350
NPI assigned
Oct 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Authorized official

Name
Bosten Ingram, MACOM, LACNPI 1841927316
Title
Acupuncturist, Owner
Phone
(541) 550-9695

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

690 N Main St
Mount Angel, OR 97362-9518

Mailing address

690 N Main St
Mount Angel, OR 97362-9518
Phone (541) 550-9695

Other names 1

  • Atsa Acupuncture Doing business as

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": "1729468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1679394787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 N MAIN ST",
            "city": "MOUNT ANGEL",
            "state": "OR",
            "postal_code": "973629518",
            "telephone_number": "541-550-9695",
            "fax_number": "503-845-9350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 N MAIN ST",
            "city": "MOUNT ANGEL",
            "state": "OR",
            "postal_code": "973629518",
            "telephone_number": "541-550-9695",
            "fax_number": "503-845-9350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATSA ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A",
        "authorized_official_last_name": "INGRAM",
        "authorized_official_first_name": "BOSTEN",
        "authorized_official_title_or_position": "ACUPUNCTURIST, OWNER",
        "authorized_official_telephone_number": "541-550-9695",
        "authorized_official_credential": "MACOM, LAC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atsa Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Angel, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.