Corvallis Acupuncture and Functional Medicine, LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

CORVALLIS ACUPUNCTURE AND FUNCTIONAL MEDICINE, LLC

Practice address

1760 SW 3Rd St
Corvallis, OR 97333-1725

Phone

(541) 380-1327

Fax

(541) 588-6208

NPI assigned

Aug 23, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Alexander B Diaz, L.AC.NPI 1215359781

Title

Lead Practitioner

Phone

(541) 380-1327

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alexander Diaz, LAC

  • Acupuncturist
  • Corvallis, OR
  • NPI 1215359781
  NPD Authorized official

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

{
    "created_epoch": "1566518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588291200000",
    "number": "1720635733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 NE CONIFER BLVD",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973304195",
            "telephone_number": "541-380-1327",
            "fax_number": "541-588-6208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 SW 3RD ST",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973331725",
            "telephone_number": "541-380-1327",
            "fax_number": "541-588-6208"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2727 NW 9th St",
            "address_purpose": "LOCATION",
            "city": "Corvallis",
            "state": "OR",
            "postal_code": "973303857",
            "country_code": "US",
            "telephone_number": "541-380-1327",
            "fax_number": "541-588-6208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CORVALLIS ACUPUNCTURE AND FUNCTIONAL MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-23",
        "last_updated": "2020-05-01",
        "certification_date": "2020-05-01",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "LEAD PRACTITIONER",
        "authorized_official_telephone_number": "541-380-1327",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Ann Cornelius, DPM
• Reghan Cornell
• Andrew Alfred Cornwell, MD
• Gabriel T Corr
• Tiffanie M Correia
• Corvallis Acupuncture and Wellness Center
• Corvallis Anesthesia, PC
• Corvallis Birth and Womens Health Center
• Corvallis Birth and Womens Health Center
• Corvallis Children'S Dentistry PC

• Acupuncturist in Corvallis, OR
• Providers in Corvallis, OR by specialty
• Acupuncturist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.