Individual provider Active NPI

Luke Tomogiro Matsuda, L.AC.

  • Acupuncturist
  • Price, UT
National Provider Identifier
1194122663
Registry record updated Nov 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
9146400-1201 Issued in UT
Practice address
894 E 100 N Ste 2
Price, UT 84501-2711
Phone
(435) 650-2302
NPI assigned
Nov 29, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 9146400-1201 UT Primary

Addresses

Primary practice location

894 E 100 N Ste 2
Price, UT 84501-2711

Mailing address

894 E 100 N Ste 2
Price, UT 84501-2711
Phone (435) 650-2302

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Matsuda Acupuncture and Herbal Medicine, LLC Acupuncturist CurrentSince Jul 5, 2023 Accepting new patients

Locations

42 S Main St
Helper, UT 84526
Phone (435) 650-2302

894 E 100 N
Ste 2
Price, UT 84501
Phone (435) 650-2302

Organizations & group practices 1

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": "1417219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417219200000",
    "number": "1194122663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "894 E 100 N STE 2",
            "city": "PRICE",
            "state": "UT",
            "postal_code": "845012711",
            "telephone_number": "435-650-2302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "894 E 100 N STE 2",
            "city": "PRICE",
            "state": "UT",
            "postal_code": "845012711",
            "telephone_number": "435-650-2302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATSUDA",
        "first_name": "LUKE",
        "middle_name": "TOMOGIRO",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-29",
        "last_updated": "2014-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "UT",
            "license": "9146400-1201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Price, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2014; 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.