Active NPI
Rose City Baby
- Acupuncturist
- Portland, OR
National Provider Identifier
1811632201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sivan Dirks, L.AC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@rosecityfamilywellness.com |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Acupuncturist
- New York, NY
- NPI 1689090961
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.