Individual provider Active NPI

Jing Chen, LAC, DIPL. O.M.

  • Acupuncturist
  • Portland, OR
National Provider Identifier
1730996653
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC223325 Issued in OR
Practice address
1330 SE Cesar E Chavez Blvd
Portland, OR 97214-4322
Phone
(503) 232-1100
NPI assigned
Dec 13, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC223325 OR Primary

Addresses

Primary practice location

1330 SE Cesar E Chavez Blvd
Portland, OR 97214-4322

Mailing address

4495 NW Chanticleer Dr Apt K2
Portland, OR 97229-8783
Phone (971) 384-8591

Other practice location 1

4495 NW Chanticleer Dr Apt K2
Portland, OR 97229-8783
Phone (971) 384-8591

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

LicenseStateTypeSpecialty
AC223325ORMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Natural Medicine, Inc Acupuncturist CurrentSince Dec 29, 2024 Accepting new patients

Locations

1330 SE Cesar E Chavez Blvd
Portland, OR 97214
Phone (503) 232-1100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22798/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1734048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1730996653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4495 NW CHANTICLEER DR APT K2",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972298783",
            "telephone_number": "971-384-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 SE CESAR E CHAVEZ BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972144322",
            "telephone_number": "503-232-1100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4495 NW Chanticleer Dr Apt K2",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972298783",
            "country_code": "US",
            "telephone_number": "971-384-8591",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEN",
        "first_name": "JING",
        "credential": "LAC, DIPL. O.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-13",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC223325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.