Gordon Performance Acupuncture, PLLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

GORDON PERFORMANCE ACUPUNCTURE, PLLC

Practice address

120 S Beaver St
Flagstaff, AZ 86001-5602

Phone

(505) 603-7790

NPI assigned

Feb 4, 2019

Organization subpart

No

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

Authorized official

Name

Amy Gordon, L.AC.

Title

Sole Member

Phone

(505) 603-7790

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549238400000",
    "number": "1003371063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4420 ASTER LN",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860017874",
            "telephone_number": "505-603-7790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S BEAVER ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860015602",
            "telephone_number": "505-603-7790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORDON PERFORMANCE ACUPUNCTURE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-04",
        "last_updated": "2019-02-04",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "505-603-7790",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hope J Gonzales, RBT
• Ashley Gonzalez Medrano
• Oscar Gonzalez
• Goodwill of Northern Arizona
• Nicole Elise Goodwin, FNP-BC
• Amy Gordon
• Tara Ann Gordon, P.A.
• Abby Gorenstein
• Shana Marie Gorman-Dunn, D.C.
• Catlea Gorman, DPM

• Acupuncturist in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Acupuncturist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; 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.