NPIMap

Organization Active NPI

Sunnyside Health Inc

  • Acupuncturist
  • Bend, OR
National Provider Identifier
1932571569
Registry record updated Oct 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC00170 Issued in OR
Legal business name
SUNNYSIDE HEALTH INC
Doing business as
Bend Healing Arts Center
Practice address
21045 Bayou Dr
Bend, OR 97702-2437
Phone
(541) 306-7842
Fax
(541) 322-8928
NPI assigned
Oct 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2015

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

Authorized official

Name
Randy Weinreb, L.M.T., L.AC.
Title
President
Phone
(541) 306-7842

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC00170 OR Primary

Addresses

Primary practice location

21045 Bayou Dr
Bend, OR 97702-2437

Mailing address

21045 Bayou Dr
Bend, OR 97702-2437
Phone (541) 306-7842

Other names 1

  • Bend Healing Arts Center Doing business as

National Provider Directory

National Provider Directory

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": "1445472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445472000000",
    "number": "1932571569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21045 BAYOU DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977022437",
            "telephone_number": "541-306-7842",
            "fax_number": "541-322-8928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21045 BAYOU DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977022437",
            "telephone_number": "541-306-7842",
            "fax_number": "541-322-8928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNYSIDE HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-22",
        "last_updated": "2015-10-22",
        "status": "A",
        "authorized_official_last_name": "WEINREB",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-306-7842",
        "authorized_official_credential": "L.M.T., L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC00170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bend Healing Arts Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 22, 2015; 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.