Northwoods Acupuncture and Wellness Canter

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

NORTHWOODS ACUPUNCTURE AND WELLNESS CANTER

Practice address

304 N Pokegama Ave Ste 100
Grand Rapids, MN 55744-2745

Phone

(218) 398-0550

NPI assigned

Aug 1, 2024

Organization subpart

No

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

Authorized official

Name

Amy Marie Dolan, L.ACNPI 1336709203

Title

Owner, Licensed Acupuncturist

Phone

(218) 398-0550

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amy Marie Dolan, L.AC

  • Acupuncturist
  • Grand Rapids, MN
  • NPI 1336709203
  NPD Authorized official

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

{
    "created_epoch": "1722470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722470400000",
    "number": "1336979764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 N POKEGAMA AVE STE 100",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557442745",
            "telephone_number": "218-398-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 N POKEGAMA AVE STE 100",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557442745",
            "telephone_number": "218-398-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWOODS ACUPUNCTURE AND WELLNESS CANTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-01",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A",
        "authorized_official_last_name": "DOLAN",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER, LICENSED ACUPUNCTURIST",
        "authorized_official_telephone_number": "218-398-0550",
        "authorized_official_credential": "L.AC"
    },
    "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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• Acupuncturist in Grand Rapids, MN
• Providers in Grand Rapids, MN by specialty
• Acupuncturist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.