Organization Active NPI

Yakima Acupuncture Clinic

  • Acupuncturist
  • Yakima, WA
National Provider Identifier
1316062680
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC00002606 Issued in WA
Legal business name
YAKIMA ACUPUNCTURE CLINIC
Practice address
3905 Summitview Ave Suite 200
Yakima, WA 98902
Phone
(509) 965-6751
Fax
(509) 965-9868
NPI assigned
Mar 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Mr. Dennis Steven Randle, LAC MAC DIPL ACUPNPI 1477677177
Title
Acupuncturist
Phone
(509) 965-6751

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171100000X AC00000296 WA
AcupuncturistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171100000X AC00002606 WA Primary

Addresses

Primary practice location

3905 Summitview Ave Suite 200
Yakima, WA 98902

Mailing address

3905 Summitview Ave Suite 200
Yakima, WA 98902
Phone (509) 965-6751

National Provider Directory

National Provider Directory

Locations

3905 Summitview Ave
Ste 200
Yakima, WA 98902
Phone (509) 965-6751

Practitioners & affiliated clinicians

Practitioners 3

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": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1316062680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 SUMMITVIEW AVE SUITE 200",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "98902",
            "telephone_number": "509-965-6751",
            "fax_number": "509-965-9868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 SUMMITVIEW AVE SUITE 200",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "98902",
            "telephone_number": "509-965-6751",
            "fax_number": "509-965-9868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAKIMA ACUPUNCTURE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "RANDLE",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "509-965-6751",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LAC MAC DIPL ACUP"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC00000296",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC00002606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.