Organization Active NPI

Original Breath

  • Acupuncturist
  • West Hollywood, CA
National Provider Identifier
1437779642
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
ORIGINAL BREATH
Practice address
1106 N la Cienega Blvd Ste 203
West Hollywood, CA 90069-2493
Phone
(310) 659-8500
Fax
(310) 504-3171
NPI assigned
Apr 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Authorized official

Name
Dr. Kyle Burton, DAOMNPI 1437324423
Title
Physician
Phone
(310) 980-9764

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X

Addresses

Primary practice location

1106 N la Cienega Blvd Ste 203
West Hollywood, CA 90069-2493

Mailing address

1106 N la Cienega Blvd Ste 206
West Hollywood, CA 90069-2493
Phone (310) 980-9764

National Provider Directory

National Provider Directory

Locations

1106 N La Cienega Blvd
Ste 206
West Hollywood, CA 90069
Phone (310) 922-2469

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1587081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631664000000",
    "number": "1437779642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 N LA CIENEGA BLVD STE 206",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900692493",
            "telephone_number": "310-980-9764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 N LA CIENEGA BLVD STE 203",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900692493",
            "telephone_number": "310-659-8500",
            "fax_number": "310-504-3171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORIGINAL BREATH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-17",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A",
        "authorized_official_last_name": "BURTON",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "310-980-9764",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DAOM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; 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.