Blue Serenity Acupuncture LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

BLUE SERENITY ACUPUNCTURE LLC

Practice address

16601 N 40TH St
Suite 125
Phoenix, AZ 85032-3345

Phone

(480) 559-9744

Fax

(480) 559-9784

NPI assigned

Jul 30, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Perry Cooper, L.AC.

Title

Officer

Phone

(480) 559-9744

Specialties & licenses 1

Addresses

Other names 1

• Blue Serenity Acupuncture Doing business as

Locations

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

{
    "created_epoch": "1343606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409702400000",
    "number": "1023364858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16601 N 40TH ST",
            "address_2": "SUITE 125",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850323345",
            "telephone_number": "480-559-9744",
            "fax_number": "480-559-9784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16601 N 40TH ST",
            "address_2": "SUITE 125",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850323345",
            "telephone_number": "480-559-9744",
            "fax_number": "480-559-9784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SERENITY ACUPUNCTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-30",
        "last_updated": "2014-09-03",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "PERRY",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "480-559-9744",
        "authorized_official_name_prefix": "Mr.",
        "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": [
        {
            "organization_name": "Blue Serenity Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2014; 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.