Organization Active NPI

Bennett Acupuncture Inc

  • Acupuncturist
  • Fountain Valley, CA
National Provider Identifier
1255894515
Registry record updated Apr 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
BENNETT ACUPUNCTURE INC
Practice address
18046 Magnolia St
Fountain Valley, CA 92708-5603
Phone
(714) 962-5031
NPI assigned
Apr 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2019

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

Authorized official

Name
Dr. Stefanie Bennett, LACNPI 1326054271
Title
Owner
Phone
(714) 962-5031

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

18046 Magnolia St
Fountain Valley, CA 92708-5603

Mailing address

18627 Brookhurst St # 507
Fountain Valley, CA 92708-6748
Phone (714) 962-5031

Other names 1

  • Bennett Acupuncture Inc Former legal business name

National Provider Directory

National Provider Directory

Locations

18046 Magnolia St
Fountain Valley, CA 92708
Phone (714) 962-5031

18627 Brookhurst St
#507
Fountain Valley, CA 92708

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": "1555027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555027200000",
    "number": "1255894515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18627 BROOKHURST ST # 507",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927086748",
            "telephone_number": "714-962-5031",
            "fax_number": "714-962-5039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18046 MAGNOLIA ST",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927085603",
            "telephone_number": "714-962-5031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENNETT ACUPUNCTURE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-12",
        "last_updated": "2019-04-12",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "STEFANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-962-5031",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bennett Acupuncture Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2019; 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.