NPIMap

Organization Active NPI

Biodynamic Health Systems

  • Acupuncturist
  • Chicago, IL
National Provider Identifier
1225416613
Registry record updated May 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
198001246 Issued in IL
Legal business name
BIODYNAMIC HEALTH SYSTEMS
Practice address
4633 N Western Ave
Chicago, IL 60625-2181
Phone
(773) 789-7143
NPI assigned
May 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2015

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

Authorized official

Name
Samantha Lotti, L.AC., BCST
Title
Acupuncture, Craniosacral, Herbs
Phone
(773) 789-7143

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 198001246 IL Primary

Addresses

Primary practice location

4633 N Western Ave
Chicago, IL 60625-2181

Mailing address

4605 N Claremont Ave
Chicago, IL 60625-2014
Phone (773) 789-7143

National Provider Directory

National Provider Directory
Tax ID family
Biodynamic Health System LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4633 N Western Ave
Chicago, IL 60625
Phone (773) 789-7143

NPI Registry JSON

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

{
    "created_epoch": "1431907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432252800000",
    "number": "1225416613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4605 N CLAREMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606252014",
            "telephone_number": "773-789-7143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4633 N WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606252181",
            "telephone_number": "773-789-7143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIODYNAMIC HEALTH SYSTEMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-18",
        "last_updated": "2015-05-22",
        "status": "A",
        "authorized_official_last_name": "LOTTI",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "ACUPUNCTURE, CRANIOSACRAL, HERBS",
        "authorized_official_telephone_number": "773-789-7143",
        "authorized_official_credential": "L.AC., BCST"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198001246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2015; 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.