Organization Active NPI

Shanghai Acupuncture LLC

  • Acupuncturist
  • Boulder, CO
National Provider Identifier
1194941278
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
727 Issued in CO
Legal business name
SHANGHAI ACUPUNCTURE LLC
Practice address
2500 30TH St
Suite 200
Boulder, CO 80301-1238
Phone
(303) 525-3399
Fax
(303) 554-8808
NPI assigned
Apr 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Shijin Ma, L.AC
Title
Acupuncturist
Phone
(303) 525-3399

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 727 CO Primary

Addresses

Primary practice location

2500 30TH St
Suite 200
Boulder, CO 80301-1238

Mailing address

3524 W Torreys Peak Dr
Superior, CO 80027-4640
Phone (303) 252-5339

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194941278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3524 W TORREYS PEAK DR",
            "city": "SUPERIOR",
            "state": "CO",
            "postal_code": "800274640",
            "telephone_number": "303-252-5339",
            "fax_number": "303-554-8808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 30TH ST",
            "address_2": "SUITE 200",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011238",
            "telephone_number": "303-525-3399",
            "fax_number": "303-554-8808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANGHAI ACUPUNCTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MA",
        "authorized_official_first_name": "SHIJIN",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "303-525-3399",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.