Organization Active NPI

Grace Acupuncture Herbal Medicine

  • Acupuncturist
  • Bethlehem, PA
National Provider Identifier
1073094280
Registry record updated Feb 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
OM000243 Issued in PA
Legal business name
GRACE ACUPUNCTURE HERBAL MEDICINE
Doing business as
Grace Acupuncture Herbal Medicine
Practice address
406 Delaware Ave Ste 4
Bethlehem, PA 18015-1472
Phone
(619) 483-1985
NPI assigned
Aug 25, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2019

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

Authorized official

Name
Rachelle Grace Matias, DACM, LOM
Title
Acupuncturist
Phone
(323) 578-6950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171100000X OM000243 PA Primary

Addresses

Primary practice location

406 Delaware Ave Ste 4
Bethlehem, PA 18015-1472

Mailing address

65 E Elizabeth Ave Apt Ph1004
Bethlehem, PA 18018-6518
Phone (323) 578-6950

Other names 1

  • Grace Acupuncture Herbal Medicine Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1535155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550620800000",
    "number": "1073094280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 E ELIZABETH AVE APT PH1004",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180186518",
            "telephone_number": "323-578-6950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 DELAWARE AVE STE 4",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151472",
            "telephone_number": "619-483-1985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE ACUPUNCTURE HERBAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-25",
        "last_updated": "2019-02-20",
        "status": "A",
        "authorized_official_last_name": "MATIAS",
        "authorized_official_first_name": "RACHELLE",
        "authorized_official_middle_name": "GRACE",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "323-578-6950",
        "authorized_official_credential": "DACM, LOM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "PA",
            "license": "OM000243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grace Acupuncture Herbal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; 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.