NPIMap

Organization Active NPI

Prime Meridian, Inc.

  • Acupuncturist
  • Minneapolis, MN
National Provider Identifier
1114137213
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
1221 Issued in MN
Legal business name
PRIME MERIDIAN, INC.
Practice address
501 Marquette Ave
Suite 170
Minneapolis, MN 55402-1201
Phone
(612) 870-1500
Fax
(612) 870-1551
NPI assigned
May 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Jared Timothy David Madsen, L.AC.NPI 1144430091
Title
President
Phone
(612) 870-1500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171100000X 1221 MN Primary

Addresses

Primary practice location

501 Marquette Ave
Suite 170
Minneapolis, MN 55402-1201

Mailing address

501 Marquette Ave
Suite 170
Minneapolis, MN 55402-1201
Phone (612) 870-1500

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114137213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 MARQUETTE AVE",
            "address_2": "SUITE 170",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554021201",
            "telephone_number": "612-870-1500",
            "fax_number": "612-870-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MARQUETTE AVE",
            "address_2": "SUITE 170",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554021201",
            "telephone_number": "612-870-1500",
            "fax_number": "612-870-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME MERIDIAN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MADSEN",
        "authorized_official_first_name": "JARED",
        "authorized_official_middle_name": "TIMOTHY DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-870-1500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "MN",
            "license": "1221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.