George Jacob Rosenbaum, DIPL. AC., LAC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

ACU-408 Issued in ID

Practice address

10074 W Fairview Ave Ste 150
Boise, ID 83704-5002

Phone

(540) 878-6041

NPI assigned

Feb 16, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1613433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1205429693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1656 S LOGGERS POND PL APT 22",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837067509",
            "telephone_number": "540-878-6041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10074 W FAIRVIEW AVE STE 150",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837045002",
            "telephone_number": "540-878-6041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBAUM",
        "first_name": "GEORGE",
        "middle_name": "JACOB",
        "credential": "DIPL. AC., LAC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-16",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "ID",
            "license": "ACU-408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://acusimple.com/access/7062/#/portal/emails/",
            "affiliation": "N",
            "endpointDescription": "Any provider may create an account on our portal and upload patient fields as well as send us secure messages regarding a mutual patient.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "10074 W Fairview Ave Ste 150",
            "city": "Boise",
            "state": "ID",
            "country_code": "US",
            "postal_code": "837045002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cheyenne Rose, LMT HHP
• Crystal Leigh Rose, FNP-C
• Jana Marie Rose, LCSW
• Kerin Rose, LPC
• Emily Mae Rosenbaum, MS, RD, LD
• Rosenberg Chiropractic
• James R Rosenberg, D.C.
• Sarah Rosenbloom
• Rosendahl Foot and Shoe Center
• Crystal Rosendahl, LPC

• Acupuncturist in Boise, ID
• Providers in Boise, ID by specialty
• Acupuncturist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; 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.