Active NPI
Ross E Weakley, LAC
- Acupuncturist
- Prineville, OR
National Provider Identifier
1699910513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 01007
- Practice address
- 298 SW Harwood
Prineville, OR 97754 - Phone
- (541) 447-3893
- NPI assigned
- Dec 5, 2008
- 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 | 01007 | OR | Primary |
Addresses
Primary practice location
298 SW Harwood
Prineville, OR 97754
Mailing address
646 SE 2ND St
Prineville, OR 97754-2304
Phone (541) 728-8955
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 |
|---|---|---|---|
| 01007 | OR | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228435200000",
"number": "1699910513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "646 SE 2ND ST",
"city": "PRINEVILLE",
"state": "OR",
"postal_code": "977542304",
"telephone_number": "541-728-8955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "298 SW HARWOOD",
"city": "PRINEVILLE",
"state": "OR",
"postal_code": "97754",
"telephone_number": "541-447-3893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEAKLEY",
"first_name": "ROSS",
"middle_name": "E",
"name_prefix": "Mr.",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-12-05",
"last_updated": "2008-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "OR",
"license": "01007",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prineville, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.