NPIMap

Organization Active NPI

Wellspring Community Acupuncture Corp.

  • Acupuncturist
  • Butler, PA
National Provider Identifier
1194231100
Registry record updated Dec 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AK001255 Issued in PA
Legal business name
WELLSPRING COMMUNITY ACUPUNCTURE CORP.
Practice address
318 E Jefferson St
Butler, PA 16001-6009
Phone
(724) 498-6141
NPI assigned
Dec 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2017

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

Authorized official

Name
Mr. Fae Gibson, M.AC., L.AC., LMTNPI 1972168318
Title
President/Primary Provider
Phone
(724) 498-6141

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AK001255 PA Primary

Addresses

Primary practice location

318 E Jefferson St
Butler, PA 16001-6009

Mailing address

264 Gibson Rd
Parker, PA 16049-2018
Phone (724) 498-6141

National Provider Directory

National Provider Directory

Locations

318 E Jefferson St
Butler, PA 16001
Phone (724) 285-7382

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1514419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514419200000",
    "number": "1194231100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 GIBSON RD",
            "city": "PARKER",
            "state": "PA",
            "postal_code": "160492018",
            "telephone_number": "724-498-6141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 E JEFFERSON ST",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160016009",
            "telephone_number": "724-498-6141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING COMMUNITY ACUPUNCTURE CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-28",
        "last_updated": "2017-12-28",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "FAE",
        "authorized_official_title_or_position": "PRESIDENT/PRIMARY PROVIDER",
        "authorized_official_telephone_number": "724-498-6141",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.AC., L.AC., LMT"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "PA",
            "license": "AK001255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Butler, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2017; 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.