Kenton Wadsworth, DACM, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

0121000803 Issued in VA

Practice address

2621 W Wackerly St Ste E
Midland, MI 48640-6994

Phone

(989) 496-7472

NPI assigned

Feb 13, 2016

Last updated

Feb 6, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• FWC Acu LLC

  • Acupuncturist
  • Midland, MI
  • NPI 1902438047
  NPD Authorized official
• Michigan Acupuncture Clinics PLLC

  dba Michigan Acupuncture Clinics

  • Acupuncturist
  • Midland, MI
  • NPI 1932967296
  NPD Authorized official
• Acupuncture and Herbology Clinic LLC

  • Acupuncturist
  • Leesburg, VA
  • NPI 1689176752
  NPD (past) Authorized official
• Northern Virginia Acupuncture LLC

  • Clinic/Center
  • Leesburg, VA
  • NPI 1043865439
  Authorized official Same address or phone

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

{
    "created_epoch": "1455321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1427417856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 W WACKERLY ST STE E",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406994",
            "telephone_number": "571-417-8463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 W WACKERLY ST STE E",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406994",
            "telephone_number": "989-496-7472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADSWORTH",
        "first_name": "KENTON",
        "name_prefix": "Dr.",
        "credential": "DACM, LAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-13",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "VA",
            "license": "0121000803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Vouaux
• Jodi Wachowiak
• Bryce Wackerle
• Erica Ann Waddle, D.O.
• Della Wade, MSW
• Andrew Standish Wagner, MD
• Autum T Wainwright
• Janet Lee Wakeman, PTA
• Kayla G Wakeman, M.A., CF-SLP
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2619)

• Acupuncturist in Midland, MI
• Providers in Midland, MI by specialty
• Acupuncturist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; 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.