Active NPI
Meridian Peak
- Acupuncturist
- Lisle, IL
National Provider Identifier
1205482973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- 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, 2019
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | inquiry@meridianpeak.com | Direct |
National Provider Directory
National Provider DirectoryLocations
4300 Commerce Ct
Ste 318
Lisle, IL 60532
Phone (331) 701-7930
Interoperability endpoints
- 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.
-
- Acupuncturist
- Lisle, IL
- NPI 1104474212
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.