Organization Active NPI

Matsuda Acupuncture and Herbal Medicine, LLC

  • Acupuncturist
  • Price, UT
National Provider Identifier
1265940639
Registry record updated Jan 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
9146400-1201 Issued in UT
Legal business name
MATSUDA ACUPUNCTURE AND HERBAL MEDICINE, LLC
Practice address
894 E 100 N Ste 2
Price, UT 84501-2711
Phone
(435) 650-2302
Fax
(435) 304-6169
NPI assigned
Jan 18, 2018
Last updated
Jan 18, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2018

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

Authorized official

Name
Luke T Matsuda, L.AC.NPI 1194122663
Title
Owner
Phone
(435) 650-2302

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 9146400-1201 UT Primary

Addresses

Primary practice location

894 E 100 N Ste 2
Price, UT 84501-2711

Mailing address

894 E 100 N Ste 2
Price, UT 84501-2711
Phone (435) 650-2302

National Provider Directory

National Provider Directory

Locations

42 S Main St
Helper, UT 84526
Phone (435) 650-2302

894 E 100 N
Ste 2
Price, UT 84501
Phone (435) 650-2302

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1516233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516233600000",
    "number": "1265940639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "894 E 100 N STE 2",
            "city": "PRICE",
            "state": "UT",
            "postal_code": "845012711",
            "telephone_number": "435-650-2302",
            "fax_number": "435-304-6169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "894 E 100 N STE 2",
            "city": "PRICE",
            "state": "UT",
            "postal_code": "845012711",
            "telephone_number": "435-650-2302",
            "fax_number": "435-304-6169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATSUDA ACUPUNCTURE AND HERBAL MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-18",
        "last_updated": "2018-01-18",
        "status": "A",
        "authorized_official_last_name": "MATSUDA",
        "authorized_official_first_name": "LUKE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-650-2302",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "UT",
            "license": "9146400-1201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Price, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2018; 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.