Organization Active NPI

Meridian Peak

  • Acupuncturist
  • Lisle, IL
National Provider Identifier
1205482973
Registry record updated Aug 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
MERIDIAN PEAK
Practice address
4300 Commerce CT Ste 318
Lisle, IL 60532-3698
Phone
(630) 686-2626
Fax
(630) 626-4463
NPI assigned
Aug 17, 2019
Last updated
Aug 17, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2019

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

Authorized official

Name
Mr. Marc Holm
Title
Director/Owner
Phone
(630) 686-2626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X Primary

Addresses

Primary practice location

4300 Commerce CT Ste 318
Lisle, IL 60532-3698

Mailing address

4300 Commerce CT Ste 318
Lisle, IL 60532-3698
Phone (630) 686-2626

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address inquiry@meridianpeak.com Direct

National Provider Directory

National Provider Directory

Locations

4300 Commerce Ct
Ste 318
Lisle, IL 60532
Phone (331) 701-7930

Interoperability endpoints

  • Direct secure messaging: inquiry@meridianpeak.com

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1566000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566000000000",
    "number": "1205482973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 COMMERCE CT STE 318",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605323698",
            "telephone_number": "630-686-2626",
            "fax_number": "630-626-4463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 COMMERCE CT STE 318",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605323698",
            "telephone_number": "630-686-2626",
            "fax_number": "630-626-4463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN PEAK",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-17",
        "last_updated": "2019-08-17",
        "status": "A",
        "authorized_official_last_name": "HOLM",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "630-686-2626",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "inquiry@meridianpeak.com",
            "affiliation": "N",
            "endpointDescription": "Patient Confidential E-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4300 Commerce Ct Ste 318",
            "city": "Lisle",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605323698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lisle, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2019; 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.