NPIMap

Organization Active NPI

Healing Source Acupuncture

  • Acupuncturist
  • Aurora, CO
National Provider Identifier
1245636653
Registry record updated Nov 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
580 Issued in CO
Legal business name
HEALING SOURCE ACUPUNCTURE
Practice address
2220 S Fraser St
Aurora, CO 80014
Phone
(720) 329-4461
Fax
(303) 750-0579
NPI assigned
Nov 12, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2014

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

Authorized official

Name
Jerry Francis McElroy, L.AC
Title
Licenced Acupuncturist
Phone
(720) 329-4461

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 580 CO Primary

Addresses

Primary practice location

2220 S Fraser St
Aurora, CO 80014

Mailing address

17465 E Jarvis PL
Aurora, CO 80013
Phone (720) 329-4461

Other identifiers 1

IdentifierTypeStateIssuer
580OtherCOCOLORADO ACUPUNCTURE LICENCE

National Provider Directory

National Provider Directory
Tax ID family
Healing Source Acupuncture2 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

2220 S Fraser St
Aurora, CO 80014
Phone (720) 329-4461

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": "1415750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415750400000",
    "number": "1245636653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17465 E JARVIS PL",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "80013",
            "telephone_number": "720-329-4461",
            "fax_number": "303-750-0579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 S FRASER ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "80014",
            "telephone_number": "720-329-4461",
            "fax_number": "303-750-0579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING SOURCE ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-12",
        "last_updated": "2014-11-12",
        "status": "A",
        "authorized_official_last_name": "MCELROY",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "LICENCED ACUPUNCTURIST",
        "authorized_official_telephone_number": "720-329-4461",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO ACUPUNCTURE LICENCE",
            "identifier": "580",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; 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.