Active NPI
Healthspring Acupuncture Inc.
- Acupuncturist
- Sebastopol, CA
National Provider Identifier
1093956641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC4210
- Legal business name
- HEALTHSPRING ACUPUNCTURE INC.
- Practice address
- 1205 Gravenstein Hwy S
Sebastopol, CA 95472-4851 - Phone
- (707) 824-8381
- Fax
- (707) 824-8431
- NPI assigned
- Mar 11, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dale White, LAC.
- Title
- Ceo
- Phone
- (707) 824-8381
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC4210 | CA | Primary |
Addresses
Primary practice location
1205 Gravenstein Hwy S
Sebastopol, CA 95472-4851
Mailing address
PO Box 2118
Sebastopol, CA 95473-2118
Phone (707) 824-8381
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236729600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1236729600000",
"number": "1093956641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2118",
"city": "SEBASTOPOL",
"state": "CA",
"postal_code": "954732118",
"telephone_number": "707-824-8381",
"fax_number": "707-824-8431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 GRAVENSTEIN HWY S",
"city": "SEBASTOPOL",
"state": "CA",
"postal_code": "954724851",
"telephone_number": "707-824-8381",
"fax_number": "707-824-8431"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHSPRING ACUPUNCTURE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-11",
"last_updated": "2009-03-11",
"status": "A",
"authorized_official_last_name": "WHITE",
"authorized_official_first_name": "DALE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "707-824-8381",
"authorized_official_credential": "LAC."
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC4210",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sebastopol, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.