Active NPI
Jonathan Glen Conant, LAC
- Acupuncturist
- Portland, OR
National Provider Identifier
1992009054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC153627
- Practice address
- 8283 SW Barbur Blvd
Portland, OR 97219-2871 - Phone
- (503) 244-1330
- NPI assigned
- Jan 4, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC153627 | OR | Primary |
Addresses
Primary practice location
8283 SW Barbur Blvd
Portland, OR 97219-2871
Mailing address
2804 NE 33Rd Ave
Portland, OR 97212-3650
Phone (503) 998-7852
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC153627 | OR | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Root Whole Body Health, Inc | Past | Accepting new patients | |
| Root Whole Body Health, Inc | Acupuncturist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Naturopath
- Portland, OR
- NPI 1497912752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294099200000",
"number": "1992009054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2804 NE 33RD AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972123650",
"telephone_number": "503-998-7852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8283 SW BARBUR BLVD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972192871",
"telephone_number": "503-244-1330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONANT",
"first_name": "JONATHAN",
"middle_name": "GLEN",
"name_prefix": "Mr.",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-01-04",
"last_updated": "2011-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "OR",
"license": "AC153627",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jan 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.