Organization Active NPI

Garuda Health LLC

  • Acupuncturist
  • Berkley, MI
National Provider Identifier
1407570963
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
GARUDA HEALTH LLC
Practice address
1130 Catalpa Dr
Berkley, MI 48072-2095
Phone
(248) 951-8897
Fax
(248) 591-4956
NPI assigned
Sep 28, 2022
Last updated
Sep 28, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

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

Authorized official

Name
Ms. Dominique D Easley, RMA
Title
Credentialing Specialist
Phone
(586) 354-1571

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X NU Primary

Addresses

Primary practice location

1130 Catalpa Dr
Berkley, MI 48072-2095

Mailing address

1130 Catalpa Dr
Berkley, MI 48072-2095
Phone (248) 951-8897

National Provider Directory

National Provider Directory

Locations

1130 Catalpa Dr
Berkley, MI 48072
Phone (248) 546-2030

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1664323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664323200000",
    "number": "1407570963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 CATALPA DR",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480722095",
            "telephone_number": "248-951-8897",
            "fax_number": "248-591-4956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 CATALPA DR",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480722095",
            "telephone_number": "248-951-8897",
            "fax_number": "248-591-4956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARUDA HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-28",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A",
        "authorized_official_last_name": "EASLEY",
        "authorized_official_first_name": "DOMINIQUE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "586-354-1571",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RMA"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkley, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; 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.