Individual provider Active NPI

Taissa Kira, M.AC., L.AC.

  • Acupuncturist
  • Wayne, PA
National Provider Identifier
1154868065
Registry record updated Jan 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AK001205 Issued in PA
Practice address
405 Alderbrook Dr
Wayne, PA 19087-2247
Phone
(484) 367-5077
NPI assigned
Jan 30, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AK001205 PA Primary

Addresses

Primary practice location

405 Alderbrook Dr
Wayne, PA 19087-2247

Mailing address

405 Alderbrook Dr
Wayne, PA 19087-2247
Phone (484) 367-5077

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

LicenseStateTypeSpecialty
AK001205PAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Place Acupuncture LLC Acupuncturist Past Accepting new patients
Zen Place Wellness, LLC. Acupuncturist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1485734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485734400000",
    "number": "1154868065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 ALDERBROOK DR",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190872247",
            "telephone_number": "484-367-5077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 ALDERBROOK DR",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190872247",
            "telephone_number": "484-367-5077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRA",
        "first_name": "TAISSA",
        "credential": "M.AC., L.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-30",
        "last_updated": "2017-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "PA",
            "license": "AK001205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; 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.