Fractal Dragon Medicine & Oriental Medicine, LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

858 Issued in CO

Legal business name

FRACTAL DRAGON MEDICINE & ORIENTAL MEDICINE, LLC

Practice address

8370 W Coal Mine Ave
Suite 106
Littleton, CO 80123-4401

Phone

(303) 979-0342

NPI assigned

Mar 23, 2010

Last updated

Mar 23, 2010By 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

Ms. Susan Perlee Gallagher, DIPL. OMNPI 1790748929

Title

Manager

Phone

(720) 261-1680

Specialties & licenses 1

Addresses

Other names 1

• Fractal Dragon Medicine, LLC Other name

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.

• Susan P Gallagher, DIPLOMATE OM

  • Acupuncturist
  • Littleton, CO
  • NPI 1790748929
  NPD (past) Authorized official

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

{
    "created_epoch": "1269302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269302400000",
    "number": "1083938831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9527 HURTY AVE",
            "city": "CONIFER",
            "state": "CO",
            "postal_code": "804339123",
            "telephone_number": "720-261-1680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8370 W COAL MINE AVE",
            "address_2": "SUITE 106",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801234401",
            "telephone_number": "303-979-0342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRACTAL DRAGON MEDICINE & ORIENTAL MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-23",
        "last_updated": "2010-03-23",
        "status": "A",
        "authorized_official_last_name": "GALLAGHER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "PERLEE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "720-261-1680",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DIPL. OM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fractal Dragon Medicine, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Fox Surgical Assistance, Inc.
• Christa Dyan Fox, MEDICAL ASSISTANT
• Liza Jane Anna Fox, MA, LPCC
• Matthew Fox, LPC
• Stephanie Fox
• Vicki Fraker
• Kevin Franciotti, LAC
• Francis M Crnkovich MD PC
• Adriana Francis
• Michael N Frand, MD

• Acupuncturist in Littleton, CO
• Providers in Littleton, CO by specialty
• Acupuncturist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; 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.