NPIMap

Organization Active NPI

Life Gate Holisitc Living Center, Inc.

  • Acupuncturist
  • Groton, MA
National Provider Identifier
1235615410
Registry record updated Jul 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
226478 Issued in MA
Legal business name
LIFE GATE HOLISITC LIVING CENTER, INC.
Practice address
66 Boston Rd
Groton, MA 01450-1862
Phone
(978) 294-9291
NPI assigned
Jul 11, 2018
Last updated
Jul 11, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2018

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

Authorized official

Name
Karina Beleno Carney, LIC. AC., FABORMNPI 1992834170
Title
Owner/Director
Phone
(978) 448-0405

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 226478 MA Primary

Addresses

Primary practice location

66 Boston Rd
Groton, MA 01450-1862

Mailing address

66 Boston Rd
Groton, MA 01450-1862
Phone (978) 294-9291

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1531267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531267200000",
    "number": "1235615410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 BOSTON RD",
            "city": "GROTON",
            "state": "MA",
            "postal_code": "014501862",
            "telephone_number": "978-294-9291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 BOSTON RD",
            "city": "GROTON",
            "state": "MA",
            "postal_code": "014501862",
            "telephone_number": "978-294-9291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE GATE HOLISITC LIVING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-11",
        "last_updated": "2018-07-11",
        "status": "A",
        "authorized_official_last_name": "BELENO CARNEY",
        "authorized_official_first_name": "KARINA",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "978-448-0405",
        "authorized_official_credential": "LIC. AC., FABORM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "MA",
            "license": "226478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Groton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; 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.