Organization Active NPI

Robert M. Greczanik M.Ac, L.Ac,Inc

  • Acupuncturist
  • Bellevue, WA
National Provider Identifier
1356568190
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
WA343 Issued in WA
Legal business name
ROBERT M. GRECZANIK M.AC, L.AC,INC
Practice address
2025 112TH Ave NE Ste 301
Bellevue, WA 98004-2950
Phone
(206) 548-1522
Fax
(425) 454-7471
NPI assigned
Apr 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Robert Michael Greczanik, LAC
Title
Acupunturist
Phone
(206) 548-1522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X WA343 WA Primary

Addresses

Primary practice location

2025 112TH Ave NE Ste 301
Bellevue, WA 98004-2950

Mailing address

2025 112TH Ave NE Ste 301
Bellevue, WA 98004-2950
Phone (206) 548-1522

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356568190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 112TH AVE NE STE 301",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980042950",
            "telephone_number": "206-548-1522",
            "fax_number": "425-454-7471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 112TH AVE NE STE 301",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980042950",
            "telephone_number": "206-548-1522",
            "fax_number": "425-454-7471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT M. GRECZANIK M.AC, L.AC,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRECZANIK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "ACUPUNTURIST",
        "authorized_official_telephone_number": "206-548-1522",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "WA343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

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