Defazio Grewell Acupuncture, Inc.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC00000674 Issued in WA

Legal business name

DEFAZIO GREWELL ACUPUNCTURE, INC.

Doing business as

Auburn Acupuncture Clinic

Practice address

819 Harvey Rd NE
Auburn, WA 98002-4225

Phone

(425) 780-7502

NPI assigned

Jun 5, 2017

Last updated

Jun 5, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Molly Ann Defazio, L.AC.NPI 1194194381

Title

Owner

Phone

(425) 780-7502

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Auburn Acupuncture Clinic Doing business as

Locations

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.

• Molly Ann Defazio, L.AC.

  • Acupuncturist
  • Auburn, WA
  • NPI 1194194381
  NPD Authorized official

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

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496620800000",
    "number": "1083143952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 HARVEY RD NE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024225",
            "telephone_number": "425-780-7502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 HARVEY RD NE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024225",
            "telephone_number": "425-780-7502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEFAZIO GREWELL ACUPUNCTURE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-05",
        "last_updated": "2017-06-05",
        "status": "A",
        "authorized_official_last_name": "DEFAZIO",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-780-7502",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC00000674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1417137126",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1194194381",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Auburn Acupuncture Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nolan Deatherage, DC
• Jeanette Germaine Decoteau, PAC
• Stephanie Decremer, ATC
• Judi M Dedge, LMP
• William G. Dedge, DC
• Molly Ann Defazio, L.AC.
• Justin Degenhardt, DPT
• Angelica Anabella Del Razo, COTA
• Thomas James Del Rio, SUDPT
• Anna Marie Delarosby, DPT

• Acupuncturist in Auburn, WA
• Providers in Auburn, WA by specialty
• Acupuncturist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2017; 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.