CONNIE JAN L.AC NPI 1043633738

Acupuncturist in Portland, OR

Individual Female Acupuncturist

About CONNIE JAN L.AC

Connie Jan is a provider established in Portland, Oregon and her medical specialization is Acupuncturist. The NPI number of Connie Jan is 1043633738 and was assigned on January 2014. The practitioner's primary taxonomy code is 171100000X with license number AC164280 (OR). The provider is registered as an individual and her NPI record was last updated July 2022.

NPI

1043633738

Provider Name CONNIE JAN L.AC
Provider Location Address4531 SE BELMONT ST STE 203 PORTLAND, OR 97215
Provider Mailing Address4531 SE BELMONT ST STE 203 PORTLAND, OR 97215
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Enumeration Date01-30-2014
Last Update Date07-02-2022



Connie Jan is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.



Primary Taxonomy

Taxonomy Code171100000X
ClassificationAcupuncturist
TypeOther Service Providers
License No.AC164280
License StateOR
Taxonomy DescriptionAn acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.

Business Address

CONNIE JAN L.AC
4531 SE BELMONT ST STE 203
PORTLAND, OR
ZIP 97215
Phone: (503) 236-9609
Fax: (503) 236-2906

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Mailing Address

CONNIE JAN L.AC
4531 SE BELMONT ST STE 203
PORTLAND, OR
ZIP 97215
Phone: (503) 236-9609
Fax: (503) 236-2906


Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
500689110MEDICAID (05)OR

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1043633738
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2083123676
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 8 + 3 + 1 + 2 + 3 + 6 + 7 + 6 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1043633738 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1841824356 LAURA GARCIA
Individual
Counselor (Mental Health)4531 SE BELMONT ST STE 203
PORTLAND, OR 97215
(971) 373-4497
1437814944MEANINGFUL THERAPY SOLUTIONS INC.
Organization
Counselor (Mental Health)4531 SE BELMONT ST STE 203
PORTLAND, OR 97215
(541) 646-0602
1972611564DR. JEANETTE MARIE CUMMINGS DC
Individual
Chiropractor4531 SE BELMONT ST STE 203
PORTLAND, OR 97215
(503) 236-9609
1386027050HAWTHORNE ACUPUNCTURE, LLC
Organization
Acupuncturist4531 SE BELMONT ST STE 203
PORTLAND, OR 97215
(503) 236-9609

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Connie Jan L.ac is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.