Organization Active NPI

Stellar Acupuncture Inc

  • Acupuncturist
  • Soquel, CA
National Provider Identifier
1154989432
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
STELLAR ACUPUNCTURE INC
Practice address
2840 Park Ave
Soquel, CA 95073-2866
Phone
(503) 740-4772
NPI assigned
Jun 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Miranda Gensler
Title
Ceo
Phone
(503) 740-4772

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

2840 Park Ave
Soquel, CA 95073-2866

Mailing address

105 Mott Ave
Santa Cruz, CA 95062-3729

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1559520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1154989432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 MOTT AVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950623729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2840 PARK AVE",
            "city": "SOQUEL",
            "state": "CA",
            "postal_code": "950732866",
            "telephone_number": "503-740-4772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STELLAR ACUPUNCTURE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-03",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "GENSLER",
        "authorized_official_first_name": "MIRANDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "503-740-4772"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Soquel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.