Organization Active NPI

Laine Gallegos Acupuncture

  • Acupuncturist
  • Boulder, CO
National Provider Identifier
1043753601
Registry record updated Nov 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
0002234 Issued in CO
Legal business name
LAINE GALLEGOS ACUPUNCTURE
Practice address
3405 Penrose PL
Suite 202
Boulder, CO 80301-1818
Phone
(303) 443-3034
NPI assigned
Nov 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2016

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

Authorized official

Name
Mrs. Laine Gallegos, L.AC.
Title
Acupuncturist
Phone
(970) 948-6229

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 0002234 CO Primary

Addresses

Primary practice location

3405 Penrose PL
Suite 202
Boulder, CO 80301-1818

Mailing address

702 Dounce St
Lafayette, CO 80026-2504

National Provider Directory

National Provider Directory

Locations

3405 Penrose Pl
Ste 202
Boulder, CO 80301
Phone (303) 443-3034

Practitioners & affiliated clinicians

Practitioners 2

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": "1480377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480377600000",
    "number": "1043753601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 DOUNCE ST",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800262504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 PENROSE PL",
            "address_2": "SUITE 202",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011818",
            "telephone_number": "303-443-3034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAINE GALLEGOS ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-29",
        "last_updated": "2016-11-29",
        "status": "A",
        "authorized_official_last_name": "GALLEGOS",
        "authorized_official_first_name": "LAINE",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "970-948-6229",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "0002234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; 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.