Organization Active NPI

Alkemy Acupuncture & Integrative Medicine, Inc.

Doing business as Alkemy

  • Acupuncturist
  • Los Angeles, CA
National Provider Identifier
1114552254
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
ALKEMY ACUPUNCTURE & INTEGRATIVE MEDICINE, INC.
Doing business as
Alkemy
Practice address
700 W 9TH St Apt 2418
Los Angeles, CA 90015-4545
Phone
(213) 222-6077
NPI assigned
Mar 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2020

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

Authorized official

Name
Dr. Kenneth Grant Mittelstadt, DACM, DC, L.AC.,
Title
Ceo
Phone
(213) 222-6077

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

700 W 9TH St Apt 2418
Los Angeles, CA 90015-4545

Mailing address

700 W 9TH St Apt 2418
Los Angeles, CA 90015-4545
Phone (213) 222-6077

Other names 1

  • Alkemy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1583712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583712000000",
    "number": "1114552254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W 9TH ST APT 2418",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900154545",
            "telephone_number": "213-222-6077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W 9TH ST APT 2418",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900154545",
            "telephone_number": "213-222-6077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALKEMY ACUPUNCTURE & INTEGRATIVE MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-09",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A",
        "authorized_official_last_name": "MITTELSTADT",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "GRANT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-222-6077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DACM, DC, L.AC.,"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alkemy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.