Gentle Tides Acupuncture LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

GENTLE TIDES ACUPUNCTURE LLC

Practice address

3405 Penrose PL Ste 206
Boulder, CO 80301-1820

Phone

(303) 618-0390

NPI assigned

Nov 16, 2021

Last updated

Nov 16, 2021By 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

Rosemary RastNPI 1467118299

Title

Owner

Phone

(303) 618-0390

Specialties & licenses 1

Addresses

Tax ID family

Gentle Tides Acupuncture2 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.

• Gentle Tides Acupuncture LLC

  dba Gentle Tides Acupuncture

  • Acupuncturist
  • Kailua Kona, HI
  • NPI 1467148833
  NPD tax ID

Locations

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.

• Rosemary Rast, L.AC.

  • Acupuncturist
  • Kailua Kona, HI
  • NPI 1467118299
  NPD Authorized official

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

{
    "created_epoch": "1637020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637020800000",
    "number": "1366108193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2859 SHADOW CREEK DR APT 106",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 PENROSE PL STE 206",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011820",
            "telephone_number": "303-618-0390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE TIDES ACUPUNCTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-16",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A",
        "authorized_official_last_name": "RAST",
        "authorized_official_first_name": "ROSEMARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-618-0390"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Boulder, CO
• Providers in Boulder, CO by specialty
• Acupuncturist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; 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.