Active NPI
Jonathan Whitehorn
- Acupuncturist
- Flagstaff, AZ
National Provider Identifier
1124422019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 0940
- Practice address
- 107 E Birch Ave Ste 4
Flagstaff, AZ 86001-4670 - Phone
- (928) 225-2425
- NPI assigned
- Oct 21, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 0940 | AZ | Primary |
Addresses
Primary practice location
107 E Birch Ave Ste 4
Flagstaff, AZ 86001-4670
Mailing address
107 E Birch Ave Ste 4
Flagstaff, AZ 86001-4670
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 |
|---|---|---|---|
| 0940 | AZ | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Red Door Acupuncture, LLC | Acupuncturist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Acupuncturist
- Flagstaff, AZ
- NPI 1427458512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413849600000",
"number": "1124422019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 E BIRCH AVE STE 4",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860014670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 E BIRCH AVE STE 4",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860014670",
"telephone_number": "928-225-2425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITEHORN",
"first_name": "JONATHAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-10-21",
"last_updated": "2014-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "AZ",
"license": "0940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flagstaff, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.