Active NPI
Matthew Truhan, L.AC.
- Acupuncturist
- Bend, OR
National Provider Identifier
1821432659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC168258
- Practice address
- 1345 NW Wall St
#202
Bend, OR 97701-1972 - Phone
- (541) 318-1000
- NPI assigned
- Apr 23, 2013
- Last updated
- Sep 30, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 15357 | CA | |
| Acupuncturist | 171100000X | AC168258 | OR | Primary |
Addresses
Primary practice location
1345 NW Wall St
#202
Bend, OR 97701-1972
Mailing address
61138 Buckshot PL
Bend, OR 97702-2992
Phone (619) 602-9815
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
| License | State | Type | Specialty |
|---|---|---|---|
| 15357 | CA | MD | Acupuncturist |
| AC168258 | OR | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellness Doctor, Inc. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinic/Center
- Bend, OR
- NPI 1811231178
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412035200000",
"number": "1821432659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61138 BUCKSHOT PL",
"city": "BEND",
"state": "OR",
"postal_code": "977022992",
"telephone_number": "619-602-9815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1345 NW WALL ST",
"address_2": "#202",
"city": "BEND",
"state": "OR",
"postal_code": "977011972",
"telephone_number": "541-318-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUHAN",
"first_name": "MATTHEW",
"name_prefix": "Mr.",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-04-23",
"last_updated": "2014-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "15357",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "OR",
"license": "AC168258",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.