Three Wells

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

16745 Issued in CA

Legal business name

THREE WELLS

Practice address

3150 18TH St # 547
San Francisco, CA 94110-2074

Phone

(415) 857-5082

NPI assigned

Dec 12, 2017

Organization subpart

No

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

Authorized official

Name

Thomas Plant Leidy, L.AC.NPI 1811409709

Title

Owner/Practitioner

Phone

(415) 857-5082

Specialties & licenses 1

Addresses

Other names 1

• Three Wells Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas Plant Leidy, L.AC.

  • Acupuncturist
  • San Francisco, CA
  • NPI 1811409709
  NPD (past) Authorized official

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

{
    "created_epoch": "1513036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513036800000",
    "number": "1265947246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1285 PALOU AVE LOWR",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941243332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 18TH ST # 547",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941102074",
            "telephone_number": "415-857-5082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE WELLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-12",
        "last_updated": "2017-12-12",
        "status": "A",
        "authorized_official_last_name": "LEIDY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "PLANT",
        "authorized_official_title_or_position": "OWNER/PRACTITIONER",
        "authorized_official_telephone_number": "415-857-5082",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "16745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Three Wells",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Acupuncturist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; 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.