Organization Active NPI

Roseman Clinic for Chinese Medicine Inc.

  • Acupuncturist
  • Bend, OR
National Provider Identifier
1942338058
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC00629 Issued in OR
Legal business name
ROSEMAN CLINIC FOR CHINESE MEDICINE INC.
Practice address
402 NW Roanoke Ave
Bend, OR 97701-1859
Phone
(541) 382-0720
Fax
(541) 382-0210
NPI assigned
Mar 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Joseph Stanley Roseman III, L.AC,DIPL CH, RH(AHG
Title
President
Phone
(541) 382-0720

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AC00629 OR Primary

Addresses

Primary practice location

402 NW Roanoke Ave
Bend, OR 97701-1859

Mailing address

402 NW Roanoke Ave
Bend, OR 97701-1859
Phone (541) 382-0720

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942338058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 NW ROANOKE AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977011859",
            "telephone_number": "541-382-0720",
            "fax_number": "541-382-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 NW ROANOKE AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977011859",
            "telephone_number": "541-382-0720",
            "fax_number": "541-382-0210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEMAN CLINIC FOR CHINESE MEDICINE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSEMAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "STANLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-382-0720",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "L.AC,DIPL CH, RH(AHG"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC00629",
            "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 Aug 22, 2020; 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.