Individual provider Active NPI

Johanna Marie Kinter, LAC

  • Acupuncturist
  • Santa Cruz, CA
National Provider Identifier
1205978236
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC8556 Issued in CA
Practice address
200 7TH Ave Ste 135
Santa Cruz, CA 95062-4670
Phone
(310) 567-7224
Fax
(833) 932-3188
NPI assigned
Feb 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC8556 CA Primary

Addresses

Primary practice location

200 7TH Ave Ste 135
Santa Cruz, CA 95062-4670

Mailing address

2521 Harper St
Santa Cruz, CA 95062-3123
Phone (310) 567-7224

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AC8556CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Taylor Chiropractic and Laser Center, Inc. Acupuncturist PastSince Jun 15, 2018 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1205978236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2521 HARPER ST",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950623123",
            "telephone_number": "310-567-7224",
            "fax_number": "833-932-3188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 7TH AVE STE 135",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950624670",
            "telephone_number": "310-567-7224",
            "fax_number": "833-932-3188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINTER",
        "first_name": "JOHANNA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC8556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; 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.