NPIMap

Organization Active NPI

Wellness Acupuncture LLC

  • Acupuncturist
  • Prior Lake, MN
National Provider Identifier
1033433842
Registry record updated Apr 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
1376 Issued in MN
Legal business name
WELLNESS ACUPUNCTURE LLC
Practice address
6278 150TH St SE
Prior Lake, MN 55372-2104
Phone
(612) 209-8485
NPI assigned
Mar 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2010

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

Authorized official

Name
Marcia K Kirk, L.AC.NPI 1295058345
Title
Owner
Phone
(612) 209-8485

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 1376 MN Primary

Addresses

Primary practice location

6278 150TH St SE
Prior Lake, MN 55372-2104

Mailing address

6278 150TH St SE
Prior Lake, MN 55372-2104
Phone (612) 209-8485

Other names 1

  • Marcia Kirk Acupuncture Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1269302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271808000000",
    "number": "1033433842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6278 150TH ST SE",
            "city": "PRIOR LAKE",
            "state": "MN",
            "postal_code": "553722104",
            "telephone_number": "612-209-8485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6278 150TH ST SE",
            "city": "PRIOR LAKE",
            "state": "MN",
            "postal_code": "553722104",
            "telephone_number": "612-209-8485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS ACUPUNCTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-23",
        "last_updated": "2010-04-21",
        "status": "A",
        "authorized_official_last_name": "KIRK",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-209-8485",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "MN",
            "license": "1376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marcia Kirk Acupuncture",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Prior Lake, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2010; 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.