NPIMap

Organization Active NPI

Function LLC

  • Acupuncturist
  • Saint Louis Park, MN
National Provider Identifier
1235568395
Registry record updated Nov 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
1693 Issued in MN
Legal business name
FUNCTION LLC
Practice address
3546 Dakota Ave S
Suite B
Saint Louis Park, MN 55416-2313
Phone
(952) 417-6433
NPI assigned
Nov 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2013

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

Authorized official

Name
Andrew Raak, L.AC., CMT
Title
Owner
Phone
(612) 229-0236

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 1693 MN Primary

Addresses

Primary practice location

3546 Dakota Ave S
Suite B
Saint Louis Park, MN 55416-2313

Mailing address

3546 Dakota Ave S
Suite B
Saint Louis Park, MN 55416-2313
Phone (952) 417-6433

Other names 1

  • Function: Massage & Acupuncture Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Function 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.

Practitioners & affiliated clinicians

Practitioners 2

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": "1383868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383868800000",
    "number": "1235568395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3546 DAKOTA AVE S",
            "address_2": "SUITE B",
            "city": "SAINT LOUIS PARK",
            "state": "MN",
            "postal_code": "554162313",
            "telephone_number": "952-417-6433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3546 DAKOTA AVE S",
            "address_2": "SUITE B",
            "city": "SAINT LOUIS PARK",
            "state": "MN",
            "postal_code": "554162313",
            "telephone_number": "952-417-6433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-08",
        "last_updated": "2013-11-08",
        "status": "A",
        "authorized_official_last_name": "RAAK",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-229-0236",
        "authorized_official_credential": "L.AC., CMT"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "MN",
            "license": "1693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Function: Massage & Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Louis Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2013; 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.