Organization Active NPI

Twelve Branches Health LLC

  • Acupuncturist
  • Boulder, CO
National Provider Identifier
1396098240
Registry record updated Oct 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
1818 Issued in CO
Legal business name
TWELVE BRANCHES HEALTH LLC
Practice address
5353 Manhattan Cir Ste 104
Boulder, CO 80303-4298
Phone
(303) 648-4066
NPI assigned
Oct 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2012

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

Authorized official

Name
Mr. Joshua Seth Drake, L.ACNPI 1215280169
Title
Owner
Phone
(720) 402-8192

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 1818 CO Primary

Addresses

Primary practice location

5353 Manhattan Cir Ste 104
Boulder, CO 80303-4298

Mailing address

5353 Manhattan Cir Ste 104
Boulder, CO 80303-4298
Phone (303) 648-4066

National Provider Directory

National Provider Directory

Locations

5353 Manhattan Cir
Ste 104
Boulder, CO 80303
Phone (303) 499-1633

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1350345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350345600000",
    "number": "1396098240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5353 MANHATTAN CIR STE 104",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803034298",
            "telephone_number": "303-648-4066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5353 MANHATTAN CIR STE 104",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803034298",
            "telephone_number": "303-648-4066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWELVE BRANCHES HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-16",
        "last_updated": "2012-10-16",
        "status": "A",
        "authorized_official_last_name": "DRAKE",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "SETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-402-8192",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "1818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

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