Organization Active NPI

Healthspring Acupuncture Inc.

  • Acupuncturist
  • Sebastopol, CA
National Provider Identifier
1093956641
Registry record updated Mar 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC4210 Issued in CA
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

Updated by the provider on Mar 11, 2009

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)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.