Sagum Acupuncture, LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

ACU.0002187 Issued in CO

Legal business name

SAGUM ACUPUNCTURE, LLC

Practice address

6059 S Quebec St
Suite 103
Centennial, CO 80111-4514

Phone

(303) 773-1166

NPI assigned

May 13, 2016

Organization subpart

No

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

Authorized official

Name

Grant Sagum, L.AC.

Title

Co-Owner

Phone

(303) 773-1166

Specialties & licenses 1

Addresses

Other names 1

• Modern Oriental Medicine Doing business as

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

{
    "created_epoch": "1463097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463097600000",
    "number": "1174979645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6059 S QUEBEC ST",
            "address_2": "SUITE 103",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801114514",
            "telephone_number": "303-773-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6059 S QUEBEC ST",
            "address_2": "SUITE 103",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801114514",
            "telephone_number": "303-773-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGUM ACUPUNCTURE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-13",
        "last_updated": "2016-05-13",
        "status": "A",
        "authorized_official_last_name": "SAGUM",
        "authorized_official_first_name": "GRANT",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "303-773-1166",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "ACU.0002187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Modern Oriental Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Serena Sadler, PHARM D
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• Grant Sagum, L.AC.
• Jackie Sagum
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• Tamie Saiki, OTR
• Deborah Sainer, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.