Organization Active NPI

Miranda Cacek, LLC

  • Acupuncturist
  • Denver, CO
National Provider Identifier
1306371810
Registry record updated Apr 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
ACU0002224 Issued in CO
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

Updated by the provider on Apr 23, 2017

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)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X ACU0002224 CO Primary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.