Organization Active NPI

Acupuncture and Oriental Medicine Center, LLC

  • Health Service Clinic/Center
  • Philadelphia, PA
National Provider Identifier
1164788840
Registry record updated Apr 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
AK000397 Issued in PA
Legal business name
ACUPUNCTURE AND ORIENTAL MEDICINE CENTER, LLC
Practice address
2014 Fairmount Avenue
Philadelphia, PA 19130-2602
Phone
(267) 342-5880
NPI assigned
Apr 6, 2012
Last updated
Apr 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2012

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

Authorized official

Name
Mr. Ian Anthony Cyrus, L.AC.NPI 1295066272
Title
Acupuncturist/Owner
Phone
(267) 342-5880

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X AK000397 PA Primary

Addresses

Primary practice location

2014 Fairmount Avenue
Philadelphia, PA 19130-2602

Mailing address

P.O. Box 341
Glenside, PA 19038-9998
Phone (267) 342-5880

National Provider Directory

National Provider Directory

Locations

2014 Fairmount Ave
Philadelphia, PA 19130
Phone (267) 342-5880

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1333670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333670400000",
    "number": "1164788840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 341",
            "city": "GLENSIDE",
            "state": "PA",
            "postal_code": "190389998",
            "telephone_number": "267-342-5880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 FAIRMOUNT AVENUE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191302602",
            "telephone_number": "267-342-5880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACUPUNCTURE AND ORIENTAL MEDICINE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-06",
        "last_updated": "2012-04-06",
        "status": "A",
        "authorized_official_last_name": "CYRUS",
        "authorized_official_first_name": "IAN",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "ACUPUNCTURIST/OWNER",
        "authorized_official_telephone_number": "267-342-5880",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "PA",
            "license": "AK000397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2012; 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.