Individual provider Active NPI

Jonathan King, E.A.M.P.

  • Acupuncturist
  • Poulsbo, WA
National Provider Identifier
1245770585
Registry record updated Mar 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC 60730946 Issued in WA
Practice address
2164 NE Hostmark St
#24
Poulsbo, WA 98370-7503
Phone
(772) 539-3421
NPI assigned
Mar 6, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC 60730946 WA Primary

Addresses

Primary practice location

2164 NE Hostmark St
#24
Poulsbo, WA 98370-7503

Mailing address

2164 NE Hostmark St
#24
Poulsbo, WA 98370-7503
Phone (772) 539-3421

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AC 60730946WAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
American Acupuncture LLC Acupuncturist Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1488758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488758400000",
    "number": "1245770585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2164 NE HOSTMARK ST",
            "address_2": "#24",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983707503",
            "telephone_number": "772-539-3421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2164 NE HOSTMARK ST",
            "address_2": "#24",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983707503",
            "telephone_number": "772-539-3421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "JONATHAN",
        "credential": "E.A.M.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-06",
        "last_updated": "2017-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC 60730946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poulsbo, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; 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.