Organization Active NPI

Red Door Acupuncture, LLC

Doing business as Red Door Acupuncture

  • Acupuncturist
  • Flagstaff, AZ
National Provider Identifier
1427458512
Registry record updated Aug 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
0941 Issued in AZ
Legal business name
RED DOOR ACUPUNCTURE, LLC
Doing business as
Red Door Acupuncture
Practice address
107 E Birch Ave
Suite 4
Flagstaff, AZ 86001-4625
Phone
(928) 225-2425
NPI assigned
Aug 26, 2014
Last updated
Aug 26, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2014

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

Authorized official

Name
Richelle Speilman, L.AC.NPI 1386043693
Title
Co-Owner
Phone
(928) 225-2425

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 0941 AZ Primary

Addresses

Primary practice location

107 E Birch Ave
Suite 4
Flagstaff, AZ 86001-4625

Mailing address

107 E Birch Ave
Suite 4
Flagstaff, AZ 86001-4625
Phone (928) 225-2425

Other names 1

  • Red Door Acupuncture Doing business as

National Provider Directory

National Provider Directory

Locations

107 E Birch Ave
Ste 4
Flagstaff, AZ 86001
Phone (928) 213-0008

Practitioners & affiliated clinicians

Practitioners 2

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": "1409011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409011200000",
    "number": "1427458512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 E BIRCH AVE",
            "address_2": "SUITE 4",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860014625",
            "telephone_number": "928-225-2425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 E BIRCH AVE",
            "address_2": "SUITE 4",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860014625",
            "telephone_number": "928-225-2425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED DOOR ACUPUNCTURE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-26",
        "last_updated": "2014-08-26",
        "status": "A",
        "authorized_official_last_name": "SPEILMAN",
        "authorized_official_first_name": "RICHELLE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "928-225-2425",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "AZ",
            "license": "0941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Red Door Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; 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.