Organization Active NPI

Sun Over Mountain Acupuncture Inc.

  • Acupuncturist
  • Mill Valley, CA
National Provider Identifier
1053984898
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
SUN OVER MOUNTAIN ACUPUNCTURE INC.
Practice address
201 Miller Ave
Mill Valley, CA 94941-2817
Phone
(415) 910-0685
NPI assigned
Jul 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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

Authorized official

Name
Mr. Kyle Robert Hartman, LACNPI 1699153817
Title
President
Phone
(415) 910-0685

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 Primary

Addresses

Primary practice location

201 Miller Ave
Mill Valley, CA 94941-2817

Mailing address

201 Miller Ave
Mill Valley, CA 94941-2817
Phone (415) 910-0685

Other names 1

  • Sun Over Mountain Acupuncture Inc. Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL unifiedpractice.com Direct

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": "1626739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626739200000",
    "number": "1053984898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 MILLER AVE",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949412817",
            "telephone_number": "415-910-0685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 MILLER AVE",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949412817",
            "telephone_number": "415-910-0685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN OVER MOUNTAIN ACUPUNCTURE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-20",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A",
        "authorized_official_last_name": "HARTMAN",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-910-0685",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "unifiedpractice.com",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "201 Miller Ave",
            "city": "Mill Valley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "949412817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Sun Over Mountain Acupuncture Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mill Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; 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.