Organization Active NPI

Menla Acupuncture and Oriental Medicine PLLC

  • Acupuncturist
  • Sierra Vista, AZ
National Provider Identifier
1073917530
Registry record updated Oct 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
931 Issued in AZ
Legal business name
MENLA ACUPUNCTURE AND ORIENTAL MEDICINE PLLC
Practice address
1827 Paseo San Luis
Ste B
Sierra Vista, AZ 85635-4630
Phone
(520) 803-0071
NPI assigned
Oct 13, 2014
Last updated
Oct 13, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2014

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

Authorized official

Name
Ms. Daniela Christ Van Wart, L.ACNPI 1083018758
Title
Member/ Acupuncturist
Phone
(520) 308-0071

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 931 AZ Primary

Addresses

Primary practice location

1827 Paseo San Luis
Ste B
Sierra Vista, AZ 85635-4630

Mailing address

1827 Paseo San Luis
Ste B
Sierra Vista, AZ 85635-4630
Phone (520) 803-0071

National Provider Directory

National Provider Directory

Locations

1827 Paseo San Luis
Ste B
Sierra Vista, AZ 85635
Phone (520) 432-4821

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": "1413158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413158400000",
    "number": "1073917530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1827 PASEO SAN LUIS",
            "address_2": "STE B",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856354630",
            "telephone_number": "520-803-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1827 PASEO SAN LUIS",
            "address_2": "STE B",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856354630",
            "telephone_number": "520-803-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENLA ACUPUNCTURE AND ORIENTAL MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-13",
        "last_updated": "2014-10-13",
        "status": "A",
        "authorized_official_last_name": "VAN WART",
        "authorized_official_first_name": "DANIELA",
        "authorized_official_middle_name": "CHRIST",
        "authorized_official_title_or_position": "MEMBER/ ACUPUNCTURIST",
        "authorized_official_telephone_number": "520-308-0071",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "AZ",
            "license": "931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Vista, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.