NPIMap

Organization Active NPI

Acupuncture at Riverside

  • Acupuncturist
  • Grants Pass, OR
National Provider Identifier
1801001409
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC00799 Issued in OR
Legal business name
ACUPUNCTURE AT RIVERSIDE
Practice address
957 SE 7TH St
Grants Pass, OR 97526-3103
Phone
(541) 474-1974
Fax
(541) 474-1975
NPI assigned
May 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Ellen D. Leonard, L.AC.NPI 1063667657
Title
Owner
Phone
(541) 474-1974

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC00799 OR Primary

Addresses

Primary practice location

957 SE 7TH St
Grants Pass, OR 97526-3103

Mailing address

957 SE 7TH St
Grants Pass, OR 97526-3103
Phone (541) 474-1974

National Provider Directory

National Provider Directory

Locations

957 SE 7th St
Grants Pass, OR 97526
Phone (541) 474-1974

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": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801001409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "957 SE 7TH ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975263103",
            "telephone_number": "541-474-1974",
            "fax_number": "541-474-1975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "957 SE 7TH ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975263103",
            "telephone_number": "541-474-1974",
            "fax_number": "541-474-1975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACUPUNCTURE AT RIVERSIDE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEONARD",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-474-1974",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC00799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grants Pass, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.