Rooted Acupuncture Co

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

ROOTED ACUPUNCTURE CO

Practice address

70 E Lake St Ste 630
Chicago, IL 60601-5961

Phone

(312) 298-9577

NPI assigned

Apr 7, 2020

Last updated

Apr 7, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Justina Pham, DACMNPI 1144840836

Title

Ceo

Phone

(773) 969-0452

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Justina Pham

  • Acupuncturist
  • Chicago, IL
  • NPI 1144840836
  NPD Authorized official

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

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586217600000",
    "number": "1326677626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2146 N DAYTON ST APT 304",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606144343",
            "telephone_number": "773-969-0452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 E LAKE ST STE 630",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606015961",
            "telephone_number": "312-298-9577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTED ACUPUNCTURE CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-07",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "JUSTINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-969-0452",
        "authorized_official_credential": "DACM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Staci Root
• Rooted Acupuncture Medicine PLLC (Rooted Acupuncture)
• Rooted Connections Counseling, PLLC
• Rooted Family Healthcare, LLC
• Rooted Health PLLC (Samantha Shuflin Nutrition & Wellness)
• Rooted in Communication

• Acupuncturist in Chicago, IL
• Providers in Chicago, IL by specialty
• Acupuncturist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; 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.