Active NPI
David Lu
- Acupuncturist
- Fridley, MN
National Provider Identifier
1306901921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 1068
- Practice address
- 1023 Moore Lake Dr E
Fridley, MN 55432-5153 - Phone
- (763) 586-6045
- NPI assigned
- Dec 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 1068 | MN | Primary |
Addresses
Primary practice location
1023 Moore Lake Dr E
Fridley, MN 55432-5153
Mailing address
1023 Moore Lake Dr E
Fridley, MN 55432-5153
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1068 | MN | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Health Acupuncture & Herbal Clinic | Acupuncturist | Past | Accepting new patients |
| Total Health Clinic Inc. | Acupuncturist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Acupuncturist
- Fridley, MN
- NPI 1518280338
-
- Acupuncturist
- Columbia Heights, MN
- NPI 1639234263
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306901921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1023 MOORE LAKE DR E",
"city": "FRIDLEY",
"state": "MN",
"postal_code": "554325153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1023 MOORE LAKE DR E",
"city": "FRIDLEY",
"state": "MN",
"postal_code": "554325153",
"telephone_number": "763-586-6045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LU",
"first_name": "DAVID",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MN",
"license": "1068",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fridley, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.