Individual provider Active NPI

Alan Rosacker, L.AC. M.AC.

  • Acupuncturist
  • Tucson, AZ
National Provider Identifier
1417848672
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
LAC-012260 Issued in AZ
Practice address
2450 N Pantano Rd
Tucson, AZ 85715-3720
Phone
(520) 633-4504
NPI assigned
Jul 14, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X LAC-012260 AZ Primary

Addresses

Primary practice location

2450 N Pantano Rd
Tucson, AZ 85715-3720

Mailing address

6057 E Paseo Ventoso
Tucson, AZ 85750-1119
Phone (520) 633-4504

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
LAC-012260AZMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1752451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1417848672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6057 E PASEO VENTOSO",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857501119",
            "telephone_number": "520-633-4504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 N PANTANO RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857153720",
            "telephone_number": "520-633-4504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSACKER",
        "first_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "L.AC. M.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-14",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "AZ",
            "license": "LAC-012260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; 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.