Organization Active NPI

Jesse Garrett Acupuncture LLC

  • Medical Specialty Clinic/Center
  • Saint Paul, MN
National Provider Identifier
1164975645
Registry record updated Aug 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
1662 Issued in MN
Legal business name
JESSE GARRETT ACUPUNCTURE LLC
Practice address
1418 Grand Ave
Saint Paul, MN 55105-2205
Phone
(651) 325-8656
NPI assigned
Aug 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2016

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

Authorized official

Name
Mr. Jesse Morgan Garrett, L. AC.
Title
Chief Manager
Phone
(651) 325-8656

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 1662 MN Primary

Addresses

Primary practice location

1418 Grand Ave
Saint Paul, MN 55105-2205

Mailing address

1418 Grand Ave
Saint Paul, MN 55105-2205
Phone (651) 325-8656

National Provider Directory

National Provider Directory

Locations

1418 Grand Ave
Saint Paul, MN 55105
Phone (651) 696-0707

NPI Registry JSON

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

{
    "created_epoch": "1470009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470009600000",
    "number": "1164975645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1418 GRAND AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551052205",
            "telephone_number": "651-325-8656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 GRAND AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551052205",
            "telephone_number": "651-325-8656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSE GARRETT ACUPUNCTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-01",
        "last_updated": "2016-08-01",
        "status": "A",
        "authorized_official_last_name": "GARRETT",
        "authorized_official_first_name": "JESSE",
        "authorized_official_middle_name": "MORGAN",
        "authorized_official_title_or_position": "CHIEF MANAGER",
        "authorized_official_telephone_number": "651-325-8656",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L. AC."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MN",
            "license": "1662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2016; 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.