Organization Active NPI

Soaring Dragon Massage

  • Massage Therapist
  • Portland, OR
National Provider Identifier
1760833362
Registry record updated Mar 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
16698 Issued in OR
Legal business name
SOARING DRAGON MASSAGE
Practice address
2143 NE Broadway St
Ste 1
Portland, OR 97232-1512
Phone
(503) 442-7177
NPI assigned
Jun 24, 2016
Organization subpart
Yes
Parent organization
FLOAT NORTH LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 20, 2017

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

Authorized official

Name
Mrs. Dana Highfill, LMTNPI 1063776300
Title
Owner
Phone
(503) 442-7177

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AC174440 OR
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X 16698 OR Primary

Addresses

Primary practice location

2143 NE Broadway St
Ste 1
Portland, OR 97232-1512

Mailing address

5505 NE 32ND Ave
Portland, OR 97211-6829
Phone (503) 442-7177

National Provider Directory

National Provider Directory
Part of
Float North

Locations

2143 NE Broadway St
Ste 1
Portland, OR 97232
Phone (503) 442-7177

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1466726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489968000000",
    "number": "1760833362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5505 NE 32ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972116829",
            "telephone_number": "503-442-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2143 NE BROADWAY ST",
            "address_2": "STE 1",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321512",
            "telephone_number": "503-442-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOARING DRAGON MASSAGE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FLOAT NORTH LLC",
        "enumeration_date": "2016-06-24",
        "last_updated": "2017-03-20",
        "status": "A",
        "authorized_official_last_name": "HIGHFILL",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-442-7177",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC174440",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "16698",
            "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 Mar 20, 2017; 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.