Modern Familiy Acupuncture and Holistice Medicine Clinic,LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

MODERN FAMILIY ACUPUNCTURE AND HOLISTICE MEDICINE CLINIC,LLC

Practice address

165 E Park Ave
Berlin, WI 54923-1678

Phone

(920) 904-5700

NPI assigned

Dec 8, 2014

Last updated

Dec 8, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Darci Senkowski

Title

Acupuncturist

Phone

(920) 904-5700

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1417996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417996800000",
    "number": "1194123166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 E PARK AVE",
            "city": "BERLIN",
            "state": "WI",
            "postal_code": "549231678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 E PARK AVE",
            "city": "BERLIN",
            "state": "WI",
            "postal_code": "549231678",
            "telephone_number": "920-904-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN FAMILIY ACUPUNCTURE AND HOLISTICE MEDICINE CLINIC,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-08",
        "last_updated": "2014-12-08",
        "status": "A",
        "authorized_official_last_name": "SENKOWSKI",
        "authorized_official_first_name": "DARCI",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "920-904-5700"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Eric McMullen, PT
• Franklin John McShane, CRNA
• Kristen Leigh Janes Mertens, M.S., CCC-SLP
• Remigio CC Milan, PA
• Sara Miller
• Freeman Mark Moore, MD
• Destinee Lynn Morris, PHARMD
• Richelle C Morrow, RD
• Sanjib Nandi
• Darren G Nelson, MD

• Acupuncturist in Berlin, WI
• Providers in Berlin, WI by specialty
• Acupuncturist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.