Intentional Acupuncture

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

INTENTIONAL ACUPUNCTURE

Practice address

7144 Highland Rd
Waterford, MI 48327-1505

Phone

(248) 931-6606

NPI assigned

Jul 7, 2023

Last updated

Jul 7, 2023By 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

Dr. Amanda L Kellar, DACNPI 1053674333

Title

Doctor of Acupuncture/ Owner

Phone

(248) 931-6606

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, and the practitioner matching its NPPES authorized official.

• Amanda L Kellar, DAC., LAC, DIP. AC

  • Acupuncturist
  • Waterford, MI
  • NPI 1053674333
  NPD Authorized official

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

{
    "created_epoch": "1688688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688688000000",
    "number": "1366120636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7144 HIGHLAND RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271505",
            "telephone_number": "248-931-6606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7144 HIGHLAND RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271505",
            "telephone_number": "248-931-6606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTENTIONAL ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-07",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-06",
        "status": "A",
        "authorized_official_last_name": "KELLAR",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DOCTOR OF ACUPUNCTURE/ OWNER",
        "authorized_official_telephone_number": "248-931-6606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Waterford, MI
• Providers in Waterford, MI by specialty
• Acupuncturist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; 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.