Individual provider Active NPI

Marc Passmann, L.AC.

  • Acupuncturist
  • Tucson, AZ
National Provider Identifier
1326361809
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
LAC-010163 Issued in AZ
Practice address
4545 W Potvin LN
Tucson, AZ 85742-9533
Phone
(917) 667-2348
NPI assigned
Mar 11, 2010
Last updated
Feb 22, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 25MZ00043700 NJ
Acupuncturist 171100000X 25 001510 NY
Acupuncturist 171100000X LAC-010163 AZ Primary

Addresses

Primary practice location

4545 W Potvin LN
Tucson, AZ 85742-9533

Mailing address

4545 W Potvin LN
Tucson, AZ 85742-9533
Phone (917) 667-2348

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

LicenseStateTypeSpecialty
LAC-010163AZMDAcupuncturist
25MZ00043700NJMDAcupuncturist
25 001510NYMDAcupuncturist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1268265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1326361809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 W POTVIN LN",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857429533",
            "telephone_number": "917-667-2348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 W POTVIN LN",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857429533",
            "telephone_number": "917-667-2348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASSMANN",
        "first_name": "MARC",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-11",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00043700",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "25 001510",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "AZ",
            "license": "LAC-010163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; 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.