Organization Active NPI

Waomirc Group LTD

  • Acupuncturist
  • Green Bay, WI
National Provider Identifier
1316673189
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
WAOMIRC GROUP LTD
Practice address
521 S Military Ave Ste a
Green Bay, WI 54303-2209
Phone
(920) 785-0398
NPI assigned
Jul 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Authorized official

Name
Eric E Vandenhouten, P.HD,D.O.M.LACNPI 1609524354
Title
President
Phone
(920) 785-0398

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: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

521 S Military Ave Ste a
Green Bay, WI 54303-2209

Mailing address

521 S Military Ave Ste a
Green Bay, WI 54303-2209
Phone (920) 785-0398

National Provider Directory

National Provider Directory

Locations

521 S Military Ave
Ste A
Green Bay, WI 54303
Phone (920) 785-0398

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": "1658707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658707200000",
    "number": "1316673189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 S MILITARY AVE STE A",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543032209",
            "telephone_number": "920-785-0398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 S MILITARY AVE STE A",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543032209",
            "telephone_number": "920-785-0398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAOMIRC GROUP LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-25",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A",
        "authorized_official_last_name": "VANDENHOUTEN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-785-0398",
        "authorized_official_credential": "P.HD,D.O.M.LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; 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.