Organization Active NPI

Ardent Health STL LLC

Doing business as Community Acupuncture of St. Louis

  • Acupuncturist
  • Saint Louis, MO
National Provider Identifier
1275247363
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
ARDENT HEALTH STL LLC
Doing business as
Community Acupuncture of St. Louis
Practice address
2006 S 39TH St
Saint Louis, MO 63110-3717
Phone
(314) 772-4325
NPI assigned
Jan 12, 2023
Last updated
Jan 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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

Authorized official

Name
Tobias Donaker, LACNPI 1205258621
Title
Owner
Phone
(314) 772-4325

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
Acupuncturist 171100000X NU Primary

Addresses

Primary practice location

2006 S 39TH St
Saint Louis, MO 63110-3717

Mailing address

2006 S 39TH St
Saint Louis, MO 63110-3717
Phone (314) 772-4325

Other names 1

  • Community Acupuncture of St. Louis Doing business as

National Provider Directory

National Provider Directory

Locations

2006 S 39th St
Saint Louis, MO 63110
Phone (314) 772-4325

Practitioners & affiliated clinicians

Practitioners 2

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": "1673481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673481600000",
    "number": "1275247363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 S 39TH ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631103717",
            "telephone_number": "314-772-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 S 39TH ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631103717",
            "telephone_number": "314-772-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARDENT HEALTH STL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-12",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-10",
        "status": "A",
        "authorized_official_last_name": "DONAKER",
        "authorized_official_first_name": "TOBIAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-772-4325",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Acupuncture of St. Louis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; 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.