Organization Active NPI

Good Medicine Acupuncture & Massage, LLC

Doing business as Good Medicine Acupuncture & Massage

  • Acupuncturist
  • Missoula, MT
National Provider Identifier
1245002930
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
GOOD MEDICINE ACUPUNCTURE & MASSAGE, LLC
Doing business as
Good Medicine Acupuncture & Massage
Practice address
308 W Pine St Ste 150
Missoula, MT 59802-4120
Phone
(406) 531-6280
NPI assigned
Oct 25, 2023
Last updated
Nov 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Authorized official

Name
Jessi Brock, LMT
Title
Owner/President
Phone
(406) 531-6280

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X Primary
Massage Therapist 225700000X

Addresses

Primary practice location

308 W Pine St Ste 150
Missoula, MT 59802-4120

Mailing address

308 W Pine St Ste 150
Missoula, MT 59802-4120
Phone (406) 531-6280

Other names 1

  • Good Medicine Acupuncture & Massage Doing business as

National Provider Directory

National Provider Directory

Locations

308 W Pine St
Ste 150
Missoula, MT 59802
Phone (406) 531-6280

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": "1698192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698883200000",
    "number": "1245002930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 W PINE ST STE 150",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024120",
            "telephone_number": "406-531-6280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 W PINE ST STE 150",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024120",
            "telephone_number": "406-531-6280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD MEDICINE ACUPUNCTURE & MASSAGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-25",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A",
        "authorized_official_last_name": "BROCK",
        "authorized_official_first_name": "JESSI",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "406-531-6280",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Medicine Acupuncture & Massage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; 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.