Organization Active NPI

Premier Acupuncture Clinic

  • Health Service Clinic/Center
  • Colorado Springs, CO
National Provider Identifier
1407258353
Registry record updated Apr 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
1709 Issued in CO
Legal business name
PREMIER ACUPUNCTURE CLINIC
Practice address
2812 W Colorado Ave Ste 104
Colorado Springs, CO 80904-2481
Phone
(719) 447-0046
Fax
(719) 447-4546
NPI assigned
Sep 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2015

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

Authorized official

Name
Anne Aylsworth Schultz, LAC
Title
Owner
Phone
(719) 447-0046

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 1709 CO Primary

Addresses

Primary practice location

2812 W Colorado Ave Ste 104
Colorado Springs, CO 80904-2481

Mailing address

2812 W Colorado Ave Ste 104
Colorado Springs, CO 80904-2481
Phone (719) 447-0046

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1411430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428883200000",
    "number": "1407258353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2812 W COLORADO AVE STE 104",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809042481",
            "telephone_number": "719-447-0046",
            "fax_number": "719-447-4546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2812 W COLORADO AVE STE 104",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809042481",
            "telephone_number": "719-447-0046",
            "fax_number": "719-447-4546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER ACUPUNCTURE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-23",
        "last_updated": "2015-04-13",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "AYLSWORTH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-447-0046",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CO",
            "license": "1709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; 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.