Ssa Acu Endeavors LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

SSA ACU ENDEAVORS LLC

Doing business as

Modern Accupuncture

Practice address

20022 N 67TH Ave Ste A116
Glendale, AZ 85308-4619

Phone

(623) 335-0875

NPI assigned

Aug 21, 2020

Last updated

Oct 29, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Scott Ackley, LAC

Title

Franchise Owner

Phone

(623) 266-8688

Specialties & licenses 1

Addresses

Other names 1

• Modern Accupuncture Doing business as

Locations

Practitioners 3

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.

• Annette Marie Raddatz

  • Acupuncturist
  • Scottsdale, AZ
  • NPI 1386914570
  NPD (past)
• Nathan White, LAC

  • Acupuncturist
  • Peoria, AZ
  • NPI 1902477862
  NPD (past)
• Terry M Heaps, LIC. AC - DIPL. O.M.

  • Acupuncturist
  • Houston, TX
  • NPI 1295961084
  NPD (past)

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

{
    "created_epoch": "1597968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603929600000",
    "number": "1285246199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 E IRVINE RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850868447",
            "telephone_number": "623-266-8688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20022 N 67TH AVE STE A116",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853084619",
            "telephone_number": "623-335-0875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSA ACU ENDEAVORS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-21",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A",
        "authorized_official_last_name": "ACKLEY",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "FRANCHISE OWNER",
        "authorized_official_telephone_number": "623-266-8688",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Modern Accupuncture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jasmine Sra, M.D.
• Dharmashree Sreedhar, M.D.
• Srivani Srikantiah, M.D. PLLC
• Namun Shanti Srivastava, MD
• Husam Srour Mallah, MD
• Sara Colleen St. John
• Thylma Lynn Sta Maria, MD
• Stacey C. Layman DDS PLLC
• Stacie L Westen OD PLLC
• Ashley Staehling

• Acupuncturist in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Acupuncturist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; 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.