NPIMap

Organization Active NPI

Kimberly Bonde Acupuncture, Inc.

  • Acupuncturist
  • Decatur, GA
National Provider Identifier
1073650032
Registry record updated Oct 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
#19 Issued in GA
Legal business name
KIMBERLY BONDE ACUPUNCTURE, INC.
Practice address
340 Mead Rd.
Decatur, GA 30030
Phone
(404) 378-1543
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2014

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

Authorized official

Name
Ms. Kimberly L Bonde, LIC. AC.NPI 1578190005
Title
Ceo
Phone
(404) 378-1543

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X #19 GA Primary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X 00019 GA

Addresses

Primary practice location

340 Mead Rd.
Decatur, GA 30030

Mailing address

340 Mead Rd.
Decatur, GA 30030
Phone (404) 378-1543

Other names 1

  • Intown Acupuncture, Inc. Former legal business name

National Provider Directory

National Provider Directory

Locations

340 Mead Rd
Decatur, GA 30030
Phone (404) 378-1543

Practitioners & affiliated clinicians

Practitioners 7

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": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412208000000",
    "number": "1073650032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 MEAD RD.",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "30030",
            "telephone_number": "404-378-1543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 MEAD RD.",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "30030",
            "telephone_number": "404-378-1543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY BONDE ACUPUNCTURE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2014-10-02",
        "status": "A",
        "authorized_official_last_name": "BONDE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-378-1543",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LIC. AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "GA",
            "license": "#19",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "GA",
            "license": "00019",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Intown Acupuncture, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; 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.