Individual provider Active NPI

Annette Marie Raddatz

  • Acupuncturist
  • Scottsdale, AZ
National Provider Identifier
1386914570
Registry record updated Jan 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
0801 Issued in AZ
Practice address
15300 N. 90TH St.
Ste. #950
Scottsdale, AZ 85260
Phone
(480) 941-2147
Fax
(480) 941-2157
NPI assigned
Jan 5, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 0801 AZ Primary

Addresses

Primary practice location

15300 N. 90TH St.
Ste. #950
Scottsdale, AZ 85260

Mailing address

15300 N. 90TH St.
Ste. #950
Scottsdale, AZ 85260
Phone (480) 941-2147

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0801AZMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Ridge Medical Group Past Accepting new patients
Desert Ridge Angic LLC Past Accepting new patients
Casa Grande Community Acupuncture LLC Acupuncturist PastSince Apr 23, 2023 Accepting new patients
Ssa Acu Endeavors LLC Acupuncturist PastSince Aug 23, 2020 Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1325721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325721600000",
    "number": "1386914570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15300 N. 90TH ST.",
            "address_2": "STE. #950",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85260",
            "telephone_number": "480-941-2147",
            "fax_number": "480-941-2157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15300 N. 90TH ST.",
            "address_2": "STE. #950",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85260",
            "telephone_number": "480-941-2147",
            "fax_number": "480-941-2157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADDATZ",
        "first_name": "ANNETTE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-05",
        "last_updated": "2012-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "AZ",
            "license": "0801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; 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.