ACTION DYNAMIX MASSAGE, LLC (NPI# 1023568466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023568466 |
| Entity Type | Organization |
| Organization Name | ACTION DYNAMIX MASSAGE, LLC |
| Practice Address |
701 Nw Arizona Ave Ste 200 Bend OR 97703-3298 |
| Mailing Address |
701 Nw Arizona Ave Bend OR 97703-3298 |
| Practice Telephone | 5417283911 |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2016-10-10 |
| Authorized Official Name | MS. AMBER LEE CLARK (OWNER) |
| Authorized Official Telephone | 5416784212 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | 10629 | OR | Managed Care Organizations |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | ACTION DYNAMIX MASSAGE, LLC | 550 Nw Industrial Way, Building 2 Ste 100, Bend, OR 97702 |
| Street Address |
701 NW ARIZONA AVE STE 200 |
| City | BEND |
| State | OR |
| Zip Code | 97703-3298 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457611477 | Mara Kevan Mitchell | Acupuncturist | 701 Nw Arizona Ave Ste 200, Bend, OR 97701-3298 | 2012-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285250704 | Elizabeth Jane Lindt | Counselor | 63311 Jamison Street, Bend, OR 97703 | 2020-06-20 |
| 1790318145 | Leah Alice Williamson | Counselor | 118 Nw Thurston Ave, Bend, OR 97703 | 2020-02-13 |
| 1831658301 | Pretty Moments Lingerie, LLC | Durable Medical Equipment & Medical Supplies | 63455 N Hwy 97 Suite 44, Bend, OR 97703 | 2019-03-14 |
| 1821561150 | Kevin Hallmeyer | Chiropractor | 750 Nw Charbonneau St., Suite 101, Bend, OR 97703 | 2019-01-09 |
| 1346743267 | Jesse Maggie Mae Abraham | Massage Therapist | 39 Nw Lousiana Ave, Bend, OR 97703 | 2018-03-16 |
| 1891202396 | Jerod Paul Michael | Speech-Language Pathologist | 2736 Nw Crossing Dr, Ste. 120, Bend, OR 97703 | 2018-01-05 |
| 1952823023 | Dan Packman | Massage Therapist | 2955 N. Hwy 97, Ste 105, Riverside Wellness, Voila Massage, Bend, OR 97703 | 2017-07-11 |
| 1023460102 | Brennon Patrick Moore | Counselor | 835 Nw Bond St Ste 100, Bend, OR 97703 | 2016-07-12 |
| 1093160269 | Eric Hinds | Optometrist | 63455 N Highway 97 Ste 75, Bend, OR 97703 | 2016-04-25 |
| 1417316191 | Ronald Guiley Od, Mph, PC | Clinic/Center | 63455 N Hwy 97, Ste 75, Bend, OR 97703 | 2016-02-23 |
| Find all providers in zip 97703 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538579727 | Qhsa Dba Dr. Bradley J Burket Dmd, Md | Preferred Provider Organization | 2195 Ne Professional Ct Ste 1, Bend, OR 97701-6028 | 2014-04-28 |
| 1801053012 | Steven J Kopp Od PC | Preferred Provider Organization | 63455 N Highway 97, Suite 75, Bend, OR 97701-6764 | 2008-05-16 |
| 1285007807 | Advantage Dental | Preferred Provider Organization | 2381 Ne Conners Ave, Bend, OR 97701-6068 | 2015-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689296675 | 6 Degrees Health Dx | Preferred Provider Organization | 5800 Ne Pinefarm Ct Ste 200, Hillsboro, OR 97124-8563 | 2020-05-12 |
| 1366974347 | Kgs Lcsw | Preferred Provider Organization | 843 E Main St Ste 304, Medford, OR 97504-7137 | 2017-03-30 |
| 1215387402 | Fabiana Garcia | Preferred Provider Organization | 18139 Ne Couch St, Portland, OR 97230-7281 | 2016-06-17 |
| 1659721397 | Oregon Department of Corrections | Preferred Provider Organization | 17734 Sw Shasta Trl, Tualatin, OR 97062-8455 | 2016-06-14 |
| 1730538273 | Paula Lowden | Preferred Provider Organization | 1023 Se Lambert St, Portland, OR 97202-6329 | 2016-06-06 |
| 1962858464 | All Seasons Family Medicine PC | Preferred Provider Organization | 25045 Dunham Ave., Veneta, OR 97487 | 2016-05-13 |
| 1467842591 | Kevin Plummer Dc PC | Preferred Provider Organization | 1972 Laveta Ln, Eugene, OR 97402-1103 | 2015-01-27 |
| 1225445166 | Northwest Acupuncture | Preferred Provider Organization | 10224 Sw Park Way # A, Portland, OR 97225-5010 | 2014-07-11 |
| 1770905879 | Willamette Dental | Preferred Provider Organization | 17804 Nw Marylhurst Dr, Portland, OR 97229-7913 | 2014-01-09 |
| 1255761524 | Willamette Dental | Preferred Provider Organization | 4925 Sw Griffith Dr., Beaverton, OR 97005 | 2013-11-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.