Green Jade Acupuncture

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

15129 Issued in CA

Legal business name

GREEN JADE ACUPUNCTURE

Practice address

13700 Alton Pkwy
Suite 158
Irvine, CA 92618-1617

Phone

(949) 278-3642

NPI assigned

May 1, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Chris Charles Bruckner, L.AC.

Title

President

Phone

(949) 278-3642

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367366400000",
    "number": "1043655202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13700 ALTON PKWY",
            "address_2": "SUITE 158",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926181617",
            "telephone_number": "949-278-3642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13700 ALTON PKWY",
            "address_2": "SUITE 158",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926181617",
            "telephone_number": "949-278-3642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN JADE ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-01",
        "last_updated": "2013-05-01",
        "status": "A",
        "authorized_official_last_name": "BRUCKNER",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-278-3642",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "15129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachael Louise Gray, M.S., CCC-SLP
• Shirley M Gray, PA
• Hesma Greaves-Stephens
• Olga Greber
• Neil Grecia
• Lynda Green-Alter, MFT
• Alana Green
• Daniele Araujo Green, D.D.S
• Greysun T Green
• Nicholas Green

• Acupuncturist in Irvine, CA
• Providers in Irvine, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; 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.