Organization Active NPI

The Acupuncture Clinic of Fort Collins

  • Health Service Clinic/Center
  • Fort Collins, CO
National Provider Identifier
1225630312
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
THE ACUPUNCTURE CLINIC OF FORT COLLINS
Practice address
1020 Luke St Ste C
Fort Collins, CO 80524-4067
Phone
(970) 657-2932
Fax
(970) 657-2933
NPI assigned
Nov 12, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

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

Authorized official

Name
Emma Goulart, DACMNPI 1508263021
Title
Owner/Acupuncturist
Phone
(510) 708-5852

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

1020 Luke St Ste C
Fort Collins, CO 80524-4067

Mailing address

1020 Luke St Ste C
Fort Collins, CO 80524-4067

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hello@acupunctureclinicfortcollins.com Other

National Provider Directory

National Provider Directory

Locations

1020 Luke St
Ste C
Fort Collins, CO 80524
Phone (970) 657-2932

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1605139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605139200000",
    "number": "1225630312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 LUKE ST STE C",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805244067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 LUKE ST STE C",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805244067",
            "telephone_number": "970-657-2932",
            "fax_number": "970-657-2933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ACUPUNCTURE CLINIC OF FORT COLLINS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-12",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A",
        "authorized_official_last_name": "GOULART",
        "authorized_official_first_name": "EMMA",
        "authorized_official_title_or_position": "OWNER/ACUPUNCTURIST",
        "authorized_official_telephone_number": "510-708-5852",
        "authorized_official_credential": "DACM"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hello@acupunctureclinicfortcollins.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "work email",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "work email",
            "address_1": "1020 Luke St Ste C",
            "city": "Fort Collins",
            "state": "CO",
            "country_code": "US",
            "postal_code": "805244067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; 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.