Organization Active NPI

Function, LLC

  • Acupuncturist
  • St Louis Park, MN
National Provider Identifier
1326474842
Registry record updated Sep 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
1653 Issued in MN
Legal business name
FUNCTION, LLC
Practice address
3546 Dakota Ave S
Suite B
Saint Louis Park, MN 55416-2313
Phone
(612) 229-0236
NPI assigned
Sep 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2013

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

Authorized official

Name
Andrew Raak, L.AC., CMT
Title
Chief Manager, Owner
Phone
(612) 229-0236

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X 1653 MN Primary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X

Addresses

Primary practice location

3546 Dakota Ave S
Suite B
Saint Louis Park, MN 55416-2313

Mailing address

3546 Dakota Ave S
Suite B
Saint Louis Park, MN 55416-2313

Other names 1

  • Function Massage & Acupuncture Other name

National Provider Directory

National Provider Directory
Tax ID family
Function LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1379289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379289600000",
    "number": "1326474842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3546 DAKOTA AVE S",
            "address_2": "SUITE B",
            "city": "SAINT LOUIS PARK",
            "state": "MN",
            "postal_code": "554162313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3546 DAKOTA AVE S",
            "address_2": "SUITE B",
            "city": "SAINT LOUIS PARK",
            "state": "MN",
            "postal_code": "554162313",
            "telephone_number": "612-229-0236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-16",
        "last_updated": "2013-09-16",
        "status": "A",
        "authorized_official_last_name": "RAAK",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "CHIEF MANAGER, OWNER",
        "authorized_official_telephone_number": "612-229-0236",
        "authorized_official_credential": "L.AC., CMT"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "MN",
            "license": "1653",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Function Massage & Acupuncture",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in St Louis Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2013; 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.