Bryce Lisser, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC169989 Issued in OR

Practice address

910 Capitol St NE
Building B
Salem, OR 97301-1201

Phone

(503) 851-5518

NPI assigned

Sep 16, 2016

Sex

Male

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tyrell Group

  • Acupuncturist
  • Salem, OR
  • NPI 1245048156
  NPD Authorized official
• Arashikage Industries, Inc

  • Acupuncturist
  • Salem, OR
  • NPI 1851758684
  NPD (past) Authorized official

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 16, 2016.

{
    "created_epoch": "1473984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473984000000",
    "number": "1861940959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 CAPITOL ST NE",
            "address_2": "BUILDING B",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973011201",
            "telephone_number": "503-851-5518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 CAPITOL ST NE",
            "address_2": "BUILDING B",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973011201",
            "telephone_number": "503-851-5518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISSER",
        "first_name": "BRYCE",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-16",
        "last_updated": "2016-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC169989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Kirsten Lintz, MOT
• Lisa Bitikofer, LCSW, LLC
• Lisa Solterbeck PC Dba Journeys...a Center for Your Soul
• James E Lisle, DPM
• Neil Liss, ED. D.
• Shane Lissy
• Michael Brian Litchfield, DMD
• Little Moments Behavioral Health LLC
• Ann Elizabeth Little, LMT
• Darian Tanner Liu

• All providers in Salem, OR
• Acupuncturist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2016; 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.