Organization Active NPI

Be Well Acupuncture

  • Acupuncturist
  • Portland, OR
National Provider Identifier
1972279685
Registry record updated Aug 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
BE WELL ACUPUNCTURE
Practice address
736 SE 60TH Ave
Portland, OR 97215-1906
Phone
(503) 217-4457
NPI assigned
Aug 22, 2021
Organization subpart
Yes
Parent organization
1417484460As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 27, 2021

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

Authorized official

Name
Dessa M Bingley, LAC
Title
Owner
Phone
(503) 217-4457

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X
AcupuncturistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

736 SE 60TH Ave
Portland, OR 97215-1906

Mailing address

3125 NE Holladay St Unit B
Portland, OR 97232-2504
Phone (503) 217-4457

Other names 1

  • Be Well Holistic Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Be Well Acupuncture11 organizations share this tax ID, including this one
Part of
Be Well Acupuncture

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

736 SE 60th Ave
Portland, OR 97215
Phone (503) 231-0743

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": "1629590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630022400000",
    "number": "1972279685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 NE HOLLADAY ST UNIT B",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322504",
            "telephone_number": "503-217-4457",
            "fax_number": "503-662-6420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 SE 60TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972151906",
            "telephone_number": "503-217-4457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BE WELL ACUPUNCTURE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "1417484460",
        "enumeration_date": "2021-08-22",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A",
        "authorized_official_last_name": "BINGLEY",
        "authorized_official_first_name": "DESSA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-217-4457",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Be Well Holistic Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Be Well Holistic Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 27, 2021; 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.