Active NPI
Noah Visscher, MSA
- Acupuncturist
- Bozeman, MT
National Provider Identifier
1124303870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- MED-ACU-LIC-104849
- Practice address
- 145 Mill Town Loop Ste a
Bozeman, MT 59718-5144 - Phone
- (406) 587-1167
- Fax
- (406) 219-0935
- NPI assigned
- Oct 13, 2011
- Last updated
- Jun 24, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC61123606 | WA | |
| Acupuncturist | 171100000X | MED-ACU-LIC-104849 | MT | Primary |
Addresses
Primary practice location
145 Mill Town Loop Ste a
Bozeman, MT 59718-5144
Mailing address
145 Mill Town Loop Ste a
Bozeman, MT 59718-5144
Phone (406) 587-1167
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MED-ACU-LIC-104849 | MT | MD | Acupuncturist |
| AC61123606 | WA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Traditional Oriental Medicine, Inc. | Past | Accepting new patients | |
| W Chiropractic Incorporated | Past | Accepting new patients | |
| Tall Pines Chiropractic, P.C. | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Missoula, MT
- NPI 1942563093
-
- Clinic/Center
- Bozeman, MT
- NPI 1013488733
-
- Chiropractor
- Missoula, MT
- NPI 1346399896
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656028800000",
"number": "1124303870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 MILL TOWN LOOP STE A",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597185144",
"telephone_number": "406-587-1167",
"fax_number": "406-219-0935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 MILL TOWN LOOP STE A",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597185144",
"telephone_number": "406-587-1167",
"fax_number": "406-219-0935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VISSCHER",
"first_name": "NOAH",
"credential": "MSA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-13",
"last_updated": "2022-06-24",
"certification_date": "2022-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "WA",
"license": "AC61123606",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MT",
"license": "MED-ACU-LIC-104849",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bozeman, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.