Organization Active NPI

Rose City Baby

  • Acupuncturist
  • Portland, OR
National Provider Identifier
1811632201
Registry record updated May 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
ROSE CITY BABY
Practice address
1616 SE Ankeny St
Portland, OR 97214-1448
Phone
(425) 445-5893
Fax
(503) 296-5617
NPI assigned
May 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2022

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

Authorized official

Name
Sivan Dirks, L.ACNPI 1689090961
Title
Owner/Director
Phone
(425) 445-5893

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 Primary

Addresses

Primary practice location

1616 SE Ankeny St
Portland, OR 97214-1448

Mailing address

1616 SE Ankeny St
Portland, OR 97214-1448
Phone (503) 961-9711

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@rosecityfamilywellness.com

National Provider Directory

National Provider Directory

Locations

1616 SE Ankeny St
Portland, OR 97214
Phone (503) 752-2661

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": "1651363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651363200000",
    "number": "1811632201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 SE ANKENY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972141448",
            "telephone_number": "503-961-9711",
            "fax_number": "503-296-5617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 SE ANKENY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972141448",
            "telephone_number": "425-445-5893",
            "fax_number": "503-296-5617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE CITY BABY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-01",
        "last_updated": "2022-05-01",
        "certification_date": "2022-05-01",
        "status": "A",
        "authorized_official_last_name": "DIRKS",
        "authorized_official_first_name": "SIVAN",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "425-445-5893",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@rosecityfamilywellness.com",
            "affiliation": "N",
            "address_1": "1616 SE Ankeny St",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972141448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 May 1, 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.