Acuwell LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

ACUWELL LLC

Practice address

300 E Ogden Ave
Naperville, IL 60563-3159

Phone

(630) 283-8817

Fax

(630) 358-6433

NPI assigned

Jun 21, 2019

Last updated

Jun 21, 2019By 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. Samantha Shore, ND, MSOM, LACNPI 1629530407

Title

Owner

Phone

(630) 283-8817

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.

• Samantha Shore, ND, MSOM, LAC

  • Acupuncturist
  • Naperville, IL
  • NPI 1629530407
  NPD (past) Authorized official

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

{
    "created_epoch": "1561075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561075200000",
    "number": "1376104208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E OGDEN AVE",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605633159",
            "telephone_number": "630-283-8817",
            "fax_number": "630-358-6433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E OGDEN AVE",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605633159",
            "telephone_number": "630-283-8817",
            "fax_number": "630-358-6433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACUWELL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-21",
        "last_updated": "2019-06-21",
        "status": "A",
        "authorized_official_last_name": "SHORE",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-283-8817",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND, MSOM, LAC"
    },
    "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 Naperville, IL
• Providers in Naperville, IL by specialty
• Acupuncturist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2019; 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.