NPIMap

Organization Active NPI

Evolutionary Medicine LLC

  • Acupuncturist
  • Bend, OR
National Provider Identifier
1710401070
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
170228 Issued in OR
Legal business name
EVOLUTIONARY MEDICINE LLC
Practice address
222 SE Urania LN
Bend, OR 97702-1624
Phone
(541) 410-5135
Fax
(971) 256-8865
NPI assigned
Jul 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. James Don Whitmore, LAC
Title
Owner
Phone
(541) 410-5135

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171100000X 170228 OR Primary

Addresses

Primary practice location

222 SE Urania LN
Bend, OR 97702-1624

Mailing address

222 SE Urania LN
Bend, OR 97702-1624
Phone (541) 410-5135

Other names 1

  • Evolutionary Medicine LLC Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1501200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1710401070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 SE URANIA LN",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021624",
            "telephone_number": "541-410-5135",
            "fax_number": "971-256-8865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 SE URANIA LN",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021624",
            "telephone_number": "541-410-5135",
            "fax_number": "971-256-8865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLUTIONARY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WHITMORE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "DON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-410-5135",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "170228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evolutionary Medicine LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.