Organization Active NPI

MDK, LLC

  • Acupuncturist
  • Denver, CO
National Provider Identifier
1265739775
Registry record updated Feb 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
1502 Issued in CO
Legal business name
MDK, LLC
Practice address
3535 W 44TH Ave
Denver, CO 80211-1313
Phone
(303) 408-2990
Fax
(303) 284-5639
NPI assigned
Feb 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2011

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

Authorized official

Name
Michele Kingsley, L.AC, DIPL O.M.
Title
Owner/Practitioner
Phone
(303) 408-2990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 1502 CO Primary

Addresses

Primary practice location

3535 W 44TH Ave
Denver, CO 80211-1313

Mailing address

3535 W 44TH Ave
Denver, CO 80211-1313
Phone (303) 408-2990

Other names 1

  • Lotus Studio Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1297900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297900800000",
    "number": "1265739775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 W 44TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802111313",
            "telephone_number": "303-408-2990",
            "fax_number": "303-284-5639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 W 44TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802111313",
            "telephone_number": "303-408-2990",
            "fax_number": "303-284-5639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-17",
        "last_updated": "2011-02-17",
        "status": "A",
        "authorized_official_last_name": "KINGSLEY",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "OWNER/PRACTITIONER",
        "authorized_official_telephone_number": "303-408-2990",
        "authorized_official_credential": "L.AC, DIPL O.M."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "1502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lotus Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2011; 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.