Organization Active NPI

Inner Well PLLC

  • Acupuncturist
  • South Padre Island, TX
National Provider Identifier
1073443776
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
INNER WELL PLLC
Practice address
5009 Padre Blvd Ste 12
South Padre Island, TX 78597-7400
Phone
(907) 299-7005
NPI assigned
May 22, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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

Authorized official

Name
Pauli Iida, LACNPI 1407271687
Title
Managing Member
Phone
(907) 299-7005

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

5009 Padre Blvd Ste 12
South Padre Island, TX 78597-7400

Mailing address

5009 Padre Blvd Ste 12
South Padre Island, TX 78597-7400
Phone (907) 299-7005

National Provider Directory

National Provider Directory

Locations

5009 Padre Blvd
Ste 12
South Padre Island, TX 78597
Phone (907) 299-7005

Practitioners & affiliated clinicians

Practitioners 1

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": "1779408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786665600000",
    "number": "1073443776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5009 PADRE BLVD STE 12",
            "city": "SOUTH PADRE ISLAND",
            "state": "TX",
            "postal_code": "785977400",
            "telephone_number": "907-299-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5009 PADRE BLVD STE 12",
            "city": "SOUTH PADRE ISLAND",
            "state": "TX",
            "postal_code": "785977400",
            "telephone_number": "907-299-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER WELL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-22",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A",
        "authorized_official_last_name": "IIDA",
        "authorized_official_first_name": "PAULI",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "907-299-7005",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Padre Island, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; 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.