NPIMap

Organization Active NPI

Islands Acupuncture, P.S

  • Acupuncturist
  • Eastsound, WA
National Provider Identifier
1043422983
Registry record updated Jul 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC40 Issued in WA
Legal business name
ISLANDS ACUPUNCTURE, P.S
Practice address
453 North Beach Rd.
Eastsound, WA 98245
Phone
(360) 376-4002
NPI assigned
May 4, 2007
Last updated
Jul 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2008

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

Authorized official

Name
Mr. Carl I. Van Gelder, L. AC.
Title
Owner
Phone
(360) 376-4002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC40 WA Primary

Addresses

Primary practice location

453 North Beach Rd.
Eastsound, WA 98245

Mailing address

PO Box 291
Eastsound, WA 98245-0291
Phone (360) 376-4002

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1043422983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 291",
            "city": "EASTSOUND",
            "state": "WA",
            "postal_code": "982450291",
            "telephone_number": "360-376-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "453 NORTH BEACH RD.",
            "city": "EASTSOUND",
            "state": "WA",
            "postal_code": "98245",
            "telephone_number": "360-376-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLANDS ACUPUNCTURE, P.S",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "VAN GELDER",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-376-4002",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L. AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastsound, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; 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.