Organization Active NPI

Rooted Community Acupuncture, Inc

  • Acupuncturist
  • Phoenix, AZ
National Provider Identifier
1083258461
Registry record updated May 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
ROOTED COMMUNITY ACUPUNCTURE, INC
Practice address
3133 E Greenway Rd Ste 505
Phoenix, AZ 85032-4480
Phone
(480) 336-3504
NPI assigned
Oct 29, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2020

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

Authorized official

Name
Saja Lynn, L.AC.NPI 1982156378
Title
Executive Director
Phone
(480) 336-3504

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

3133 E Greenway Rd Ste 505
Phoenix, AZ 85032-4480

Mailing address

12810 N 29TH St
Phoenix, AZ 85032-6507
Phone (602) 758-1235

National Provider Directory

National Provider Directory

Locations

3133 E Greenway Rd
Ste 505
Phoenix, AZ 85032
Phone (480) 336-3504

14620 N Cave Creek Rd
Ste 3
Phoenix, AZ 85022

Practitioners & affiliated clinicians

Practitioners 1

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": "1572307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588896000000",
    "number": "1083258461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12810 N 29TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850326507",
            "telephone_number": "602-758-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3133 E GREENWAY RD STE 505",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850324480",
            "telephone_number": "480-336-3504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTED COMMUNITY ACUPUNCTURE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-29",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A",
        "authorized_official_last_name": "LYNN",
        "authorized_official_first_name": "SAJA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "480-336-3504",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2020; 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.