Active NPI
Matthew S Safarik, LAC, CMT
- Acupuncturist
- Madison, WI
National Provider Identifier
1326482233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC 15120
- Practice address
- 6314 Odana Rd Ste 22
Madison, WI 53719-1194 - Phone
- (310) 991-9797
- NPI assigned
- Apr 22, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 | AC 15120 | CA | Primary |
Addresses
Primary practice location
6314 Odana Rd Ste 22
Madison, WI 53719-1194
Mailing address
1729 Wicklow Way
Madison, WI 53711-3666
Phone (310) 991-9797
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 |
|---|---|---|---|
| AC 15120 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492473600000",
"number": "1326482233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1729 WICKLOW WAY",
"city": "MADISON",
"state": "WI",
"postal_code": "537113666",
"telephone_number": "310-991-9797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6314 ODANA RD STE 22",
"city": "MADISON",
"state": "WI",
"postal_code": "537191194",
"telephone_number": "310-991-9797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAFARIK",
"first_name": "MATTHEW",
"middle_name": "S",
"credential": "LAC, CMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-04-22",
"last_updated": "2017-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC 15120",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.