Organization Active NPI

Precision Acupuncture LLC

  • Acupuncturist
  • Minneapolis, MN
National Provider Identifier
1265090641
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
PRECISION ACUPUNCTURE LLC
Practice address
1820 Riverside Ave
Minneapolis, MN 55454-1193
Phone
(612) 293-5161
Fax
(866) 261-6880
NPI assigned
May 31, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Authorized official

Name
Shane Berquist, L.AC.NPI 1134468093
Title
Acupuncturist, Ceo
Phone
(612) 293-5161

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

1820 Riverside Ave
Minneapolis, MN 55454-1193

Mailing address

1829 Riverside Ave Ste 200
Minneapolis, MN 55454-1037

National Provider Directory

National Provider Directory

Locations

1820 Riverside Ave
Minneapolis, MN 55454
Phone (612) 338-4282

Practitioners & affiliated clinicians

Practitioners 1

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": "1559260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606953600000",
    "number": "1265090641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1829 RIVERSIDE AVE STE 200",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554541037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 RIVERSIDE AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554541193",
            "telephone_number": "612-293-5161",
            "fax_number": "866-261-6880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION ACUPUNCTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-31",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A",
        "authorized_official_last_name": "BERQUIST",
        "authorized_official_first_name": "SHANE",
        "authorized_official_title_or_position": "ACUPUNCTURIST, CEO",
        "authorized_official_telephone_number": "612-293-5161",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.