NPIMap

Organization Active NPI

Birch Haven Community Acupuncture

  • Acupuncturist
  • Burnsville, MN
National Provider Identifier
1104241280
Registry record updated Feb 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
1654 Issued in MN
Legal business name
BIRCH HAVEN COMMUNITY ACUPUNCTURE
Practice address
14041 Burnhaven Dr
Suite 120
Burnsville, MN 55337-4921
Phone
(952) 898-1808
NPI assigned
Feb 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2014

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

Authorized official

Name
Nada Lyn Robertson Hogan, L.AC
Title
Acupuncturist
Phone
(952) 898-1808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 1654 MN Primary

Addresses

Primary practice location

14041 Burnhaven Dr
Suite 120
Burnsville, MN 55337-4921

Mailing address

14041 Burnhaven Dr
Suite 120
Burnsville, MN 55337-4921
Phone (952) 898-1808

Other identifiers 1

IdentifierTypeStateIssuer
1164769725OtherMNNPI

National Provider Directory

National Provider Directory

Locations

14041 Burnhaven Dr
Ste 120
Burnsville, MN 55337
Phone (952) 898-1808

NPI Registry JSON

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

{
    "created_epoch": "1393286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393286400000",
    "number": "1104241280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14041 BURNHAVEN DR",
            "address_2": "SUITE 120",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374921",
            "telephone_number": "952-898-1808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14041 BURNHAVEN DR",
            "address_2": "SUITE 120",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374921",
            "telephone_number": "952-898-1808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRCH HAVEN COMMUNITY ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-25",
        "last_updated": "2014-02-25",
        "status": "A",
        "authorized_official_last_name": "HOGAN",
        "authorized_official_first_name": "NADA",
        "authorized_official_middle_name": "LYN ROBERTSON",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "952-898-1808",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "MN",
            "license": "1654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1164769725",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2014; 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.