Randel B. Wing Dom PC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

392 Issued in CO

Legal business name

RANDEL B. WING DOM PC

Practice address

2812 W Colorado Ave
Ste 106
Colorado Springs, CO 80904-2470

Phone

(719) 447-0046

Fax

(719) 447-4645

NPI assigned

Sep 15, 2011

Organization subpart

No

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

Authorized official

Name

Randel Bruce Wing, LAC, DOM, NMDNPI 1952440869

Title

President

Phone

(719) 447-0046

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Randel B. Wing, DOM, LAC., NMD

  • Acupuncturist
  • Cape Coral, FL
  • NPI 1952440869
  NPD (past) Authorized official

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

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316044800000",
    "number": "1154603108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2812 W COLORADO AVE",
            "address_2": "STE 106",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809042470",
            "telephone_number": "719-447-0046",
            "fax_number": "719-447-4645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2812 W COLORADO AVE",
            "address_2": "STE 106",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809042470",
            "telephone_number": "719-447-0046",
            "fax_number": "719-447-4645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDEL B. WING DOM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-15",
        "last_updated": "2011-09-15",
        "status": "A",
        "authorized_official_last_name": "WING",
        "authorized_official_first_name": "RANDEL",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-447-0046",
        "authorized_official_credential": "LAC, DOM, NMD"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ida Joyce Randall
• Jennifer Lynn Randall
• Kimberly Randall, RN
• Megan Elizabeth Randall, LCSW
• Tina Kay Randall
• Meghan Randig
• Tawanna Amecca Randle, REGISTERED NURSE
• Clay Randles, PA-C
• Kathleen Mary Randolph
• Lisa Randolph, MSC, MFT

• Acupuncturist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Acupuncturist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; 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.