Organization Active NPI

Hidden Well Acupuncture Inc.

  • Acupuncturist
  • Savannah, GA
National Provider Identifier
1265062889
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
HIDDEN WELL ACUPUNCTURE INC.
Practice address
134 Houston St
Savannah, GA 31401-3530
Phone
(912) 233-9123
NPI assigned
Jan 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Authorized official

Name
Fawn Demoiselle Smiley, ACUPUNCTURIST
Title
Owner & Practitioner
Phone
(912) 233-9123

Specialties & licenses 1

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

Addresses

Primary practice location

134 Houston St
Savannah, GA 31401-3530

Mailing address

134 Houston St
Savannah, GA 31401-3530
Phone (912) 233-9123

National Provider Directory

National Provider Directory

Locations

134 Houston St
Savannah, GA 31401
Phone (912) 233-9123

NPI Registry JSON

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

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579737600000",
    "number": "1265062889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 HOUSTON ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314013530",
            "telephone_number": "912-233-9123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 HOUSTON ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314013530",
            "telephone_number": "912-233-9123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIDDEN WELL ACUPUNCTURE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-23",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A",
        "authorized_official_last_name": "SMILEY",
        "authorized_official_first_name": "FAWN",
        "authorized_official_middle_name": "DEMOISELLE",
        "authorized_official_title_or_position": "OWNER & PRACTITIONER",
        "authorized_official_telephone_number": "912-233-9123",
        "authorized_official_credential": "ACUPUNCTURIST"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; 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.