NPIMap

Organization Active NPI

J. Donberg, LLC

  • Acupuncturist
  • Traverse City, MI
National Provider Identifier
1275858250
Registry record updated Apr 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
100776 NCCAOM
Legal business name
J. DONBERG, LLC
Practice address
626 E Eighth St
Suite 17
Traverse City, MI 49686-2504
Phone
(231) 929-8183
NPI assigned
Apr 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2010

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

Authorized official

Name
Ms. Jill Marie Donberg, MACOMNPI 1215119649
Title
Owner
Phone
(231) 929-8183

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X 100776 NCCAOM Primary
NaturopathGroup: 193200000X MULTI-SPECIALTY GROUP 175F00000X

Addresses

Primary practice location

626 E Eighth St
Suite 17
Traverse City, MI 49686-2504

Mailing address

626 E Eighth St
Suite 17
Traverse City, MI 49686-2504
Phone (231) 929-8183

Other names 1

  • Grand Traverse Natural Health Care Doing business as

National Provider Directory

National Provider Directory

Locations

626 E Eighth St
Ste 17
Traverse City, MI 49686
Phone (231) 590-9758

Practitioners & affiliated clinicians

Practitioners 3

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": "1270080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270080000000",
    "number": "1275858250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 E EIGHTH ST",
            "address_2": "SUITE 17",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496862504",
            "telephone_number": "231-929-8183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 E EIGHTH ST",
            "address_2": "SUITE 17",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496862504",
            "telephone_number": "231-929-8183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. DONBERG, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-01",
        "last_updated": "2010-04-01",
        "status": "A",
        "authorized_official_last_name": "DONBERG",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-929-8183",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MACOM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": "100776 NCCAOM",
            "primary": true
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grand Traverse Natural Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2010; 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.