Earth-Moon Acupuncture, Inc.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

AC150966 Issued in OR

Legal business name

EARTH-MOON ACUPUNCTURE, INC.

Practice address

2365 Grear St NE
Salem, OR 97301-2747

Phone

(503) 383-9796

Fax

(971) 273-6658

NPI assigned

Jan 8, 2015

Last updated

Oct 22, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Wendy Childs, L.AC.NPI 1922276815

Title

President

Phone

(503) 939-5541

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Wendy J Childs, L.AC.

  • Acupuncturist
  • Salem, OR
  • NPI 1922276815
  Authorized official Same address or phone

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

{
    "created_epoch": "1420675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477094400000",
    "number": "1982092276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2365 GREAR ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973012747",
            "telephone_number": "503-383-9796",
            "fax_number": "971-273-6658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2365 GREAR ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973012747",
            "telephone_number": "503-383-9796",
            "fax_number": "971-273-6658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARTH-MOON ACUPUNCTURE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-08",
        "last_updated": "2016-10-22",
        "status": "A",
        "authorized_official_last_name": "CHILDS",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-939-5541",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "OR",
            "license": "AC150966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500687546",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James G Dyson, D.C.
• Joseph Edward Dziados, M.D.
• Ishawn Levette Ealy
• Ear Nose and Throat Northwest LLC
• Shelisha Daniele Earle
• Dakota Easbey, PSS, THW
• East Salem Dental LLC
• East Side Orthotics & Prosthetics, Inc.
• Marcus Allan East, MD
• Easter Seals Oregon

• Health Service Clinic/Center in Salem, OR
• Providers in Salem, OR by specialty
• Health Service Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.