Organization Active NPI

Tidewater Acupuncture and Wellness

  • Acupuncturist
  • Virginia Beach, VA
National Provider Identifier
1003620220
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
TIDEWATER ACUPUNCTURE AND WELLNESS
Practice address
2272 W Great Neck Rd Ste 2244
Virginia Beach, VA 23451-1506
Phone
(757) 589-2880
NPI assigned
Feb 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Authorized official

Name
Jennifer Sadler, LAC
Title
Owner
Phone
(757) 589-2880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

2272 W Great Neck Rd Ste 2244
Virginia Beach, VA 23451-1506

Mailing address

2676 River Rd
Virginia Beach, VA 23454-1223
Phone (757) 589-2880

National Provider Directory

National Provider Directory

Locations

2272 W Great Neck Rd
Ste 2244
Virginia Beach, VA 23451
Phone (757) 589-2880

NPI Registry JSON

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

{
    "created_epoch": "1738800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738800000000",
    "number": "1003620220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2676 RIVER RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234541223",
            "telephone_number": "757-589-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2272 W GREAT NECK RD STE 2244",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234511506",
            "telephone_number": "757-589-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIDEWATER ACUPUNCTURE AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-06",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A",
        "authorized_official_last_name": "SADLER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-589-2880",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; 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.