Active NPI
Miranda Cacek, LLC
- Acupuncturist
- Denver, CO
National Provider Identifier
1306371810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- ACU0002224
- Legal business name
- MIRANDA CACEK, LLC
- Practice address
- 16 Lakeside LN
Denver, CO 80212-7413 - Phone
- (720) 310-8525
- Fax
- (720) 360-0266
- NPI assigned
- Apr 23, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miranda Lee Cacek, L.AC, LMT
- Title
- Owner, Practitioner
- Phone
- (720) 310-8525
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | ACU0002224 | CO | Primary |
| Massage Therapist | 225700000X | MT.0004441 | CO |
Addresses
Primary practice location
16 Lakeside LN
Denver, CO 80212-7413
Mailing address
16 Lakeside LN
Denver, CO 80212-7413
Phone (720) 310-8525
Other names 1
- BodyWisdom Acupuncture
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1492905600000",
"number": "1306371810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 LAKESIDE LN",
"city": "DENVER",
"state": "CO",
"postal_code": "802127413",
"telephone_number": "720-310-8525",
"fax_number": "720-360-0266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 LAKESIDE LN",
"city": "DENVER",
"state": "CO",
"postal_code": "802127413",
"telephone_number": "720-310-8525",
"fax_number": "720-360-0266"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIRANDA CACEK, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-04-23",
"last_updated": "2017-04-23",
"status": "A",
"authorized_official_last_name": "CACEK",
"authorized_official_first_name": "MIRANDA",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "OWNER, PRACTITIONER",
"authorized_official_telephone_number": "720-310-8525",
"authorized_official_credential": "L.AC, LMT"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "CO",
"license": "ACU0002224",
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "CO",
"license": "MT.0004441",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "BodyWisdom Acupuncture",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.