North Star Acupuncture LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

116862 Issued in AK

Legal business name

NORTH STAR ACUPUNCTURE LLC

Practice address

630 E 57TH PL
Anchorage, AK 99518-1305

Phone

(907) 791-0027

NPI assigned

Dec 28, 2016

Organization subpart

No

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

Authorized official

Name

Timothy Henry Iliff Jr., LAC

Title

Owner

Phone

(907) 406-0834

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1482883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482883200000",
    "number": "1083159164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 E 6TH AVE APT 3",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995041770",
            "telephone_number": "907-406-0834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 E 57TH PL",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995181305",
            "telephone_number": "907-791-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH STAR ACUPUNCTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-28",
        "last_updated": "2016-12-28",
        "status": "A",
        "authorized_official_last_name": "ILIFF",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-406-0834",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "AK",
            "license": "116862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Service Clinic/Center in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Health Service Clinic/Center in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2016; 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.