NPIMap

Organization Active NPI

Three Wells Acupuncture Clinic, Inc.

  • Acupuncturist
  • Morris, IL
National Provider Identifier
1427446103
Registry record updated Jan 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
THREE WELLS ACUPUNCTURE CLINIC, INC.
Practice address
105 E Main St
Suite 304
Morris, IL 60450-2150
Phone
(815) 942-2580
NPI assigned
Jan 2, 2015
Last updated
Jan 2, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2015

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

Authorized official

Name
Laurie Stone, L.AC.NPI 1780999821
Title
Owner
Phone
(815) 942-2580

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
Acupuncturist 171100000X NU Primary

Addresses

Primary practice location

105 E Main St
Suite 304
Morris, IL 60450-2150

Mailing address

105 E Main St
Suite 304
Morris, IL 60450-2150
Phone (815) 942-2580

National Provider Directory

National Provider Directory

Locations

105 E Main St
Ste 304
Morris, IL 60450
Phone (815) 942-2580

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": "1420156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420156800000",
    "number": "1427446103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 E MAIN ST",
            "address_2": "SUITE 304",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604502150",
            "telephone_number": "815-942-2580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E MAIN ST",
            "address_2": "SUITE 304",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604502150",
            "telephone_number": "815-942-2580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE WELLS ACUPUNCTURE CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-02",
        "last_updated": "2015-01-02",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-942-2580",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morris, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.