Joseph H Cannariato, MSOM, BSN, LAC, CAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

601-055 Issued in WI

Practice address

10600 W Bluemound Rd
Ste 1 @ Evolution Rehab
Wauwatosa, WI 53226-4254

Phone

(414) 258-2090

Fax

(419) 791-6608

NPI assigned

Nov 25, 2008

Last updated

Mar 14, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing

State licenses

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

{
    "created_epoch": "1227571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331683200000",
    "number": "1104071653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10600 W BLUEMOUND RD",
            "address_2": "STE 1 @ EVOLUTION REHAB",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532264254",
            "telephone_number": "414-258-2090",
            "fax_number": "419-791-6608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10600 W BLUEMOUND RD",
            "address_2": "STE 1 @ EVOLUTION REHAB",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532264254",
            "telephone_number": "414-258-2090",
            "fax_number": "419-791-6608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNARIATO",
        "first_name": "JOSEPH",
        "middle_name": "H",
        "credential": "MSOM, BSN, LAC, CAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-25",
        "last_updated": "2012-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WI",
            "license": "601-055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Acupuncturist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; 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.