Organization Active NPI

Integrative Acupuncture Clinic

  • Acupuncturist
  • Fort Collins, CO
National Provider Identifier
1285988113
Registry record updated Oct 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
1443 Issued in CO
Legal business name
INTEGRATIVE ACUPUNCTURE CLINIC
Practice address
140 W Oak St Ste 110
Fort Collins, CO 80524-2895
Phone
(970) 599-2923
NPI assigned
Oct 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2012

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

Authorized official

Name
Neelofer Clark, L.AC RNNPI 1811240021
Title
Owner
Phone
(970) 599-2923

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: 193200000X MULTI-SPECIALTY GROUP 171100000X 1443 CO Primary

Addresses

Primary practice location

140 W Oak St Ste 110
Fort Collins, CO 80524-2895

Mailing address

140 West Oak St Suite 110
Fort Collins, CO 80524
Phone (970) 599-2923

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1351555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351555200000",
    "number": "1285988113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 WEST OAK ST SUITE 110",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "80524",
            "telephone_number": "970-599-2923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 W OAK ST STE 110",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805242895",
            "telephone_number": "970-599-2923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE ACUPUNCTURE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-30",
        "last_updated": "2012-10-30",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "NEELOFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-599-2923",
        "authorized_official_credential": "L.AC RN"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "1443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; 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.