Amazing Acupuncture & Asian Medicine, PLLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

AMAZING ACUPUNCTURE & ASIAN MEDICINE, PLLC

Practice address

2155 W Sr 89a Ste 114
Sedona, AZ 86336-5445

Phone

(928) 239-9706

Fax

(928) 203-9716

NPI assigned

Mar 30, 2023

Last updated

Mar 30, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Phantasmagoria Eve

Title

Executive Director

Phone

(928) 239-9706

Specialties & licenses 1

Addresses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ahna E. Bridenbaugh, L.AC.

  • Acupuncturist
  • Sedona, AZ
  • NPI 1568681948
  NPD
• Volodar Roman Kuzyk, L.AC.

  • Acupuncturist
  • Sedona, AZ
  • NPI 1881878049
  NPD
• Dean Soupal, MT

  • Massage Therapist
  • Sedona, AZ
  • NPI 1750074142
  NPD

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

{
    "created_epoch": "1680134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1124722251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 W SR 89A STE 114",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863365445",
            "telephone_number": "928-239-9706",
            "fax_number": "928-203-9716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 W SR 89A STE 114",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863365445",
            "telephone_number": "928-239-9706",
            "fax_number": "928-203-9716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAZING ACUPUNCTURE & ASIAN MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-30",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "EVE",
        "authorized_official_first_name": "PHANTASMAGORIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "928-239-9706"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Sedona, AZ
• Providers in Sedona, AZ by specialty
• Acupuncturist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; 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.