Active NPI
Brian Ray,Ond Guanzon, MSOM, LAC
- Acupuncturist
- Woodbury, TN
National Provider Identifier
1457749178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 242
- Practice address
- 313 W Main St Ste B
Woodbury, TN 37190-1144 - Phone
- (615) 318-6872
- NPI assigned
- Jan 5, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 242 | TN | Primary |
Addresses
Primary practice location
313 W Main St Ste B
Woodbury, TN 37190-1144
Mailing address
1426 Sugar Tree Knob Rd
Liberty, TN 37095-9329
Phone (615) 318-6872
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
| License | State | Type | Specialty |
|---|---|---|---|
| 242 | TN | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420416000000",
"number": "1457749178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1426 SUGAR TREE KNOB RD",
"city": "LIBERTY",
"state": "TN",
"postal_code": "370959329",
"telephone_number": "615-318-6872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "313 W MAIN ST STE B",
"city": "WOODBURY",
"state": "TN",
"postal_code": "371901144",
"telephone_number": "615-318-6872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUANZON",
"first_name": "BRIAN",
"middle_name": "RAY,OND",
"credential": "MSOM, LAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-01-05",
"last_updated": "2015-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "TN",
"license": "242",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodbury, TN
- Generations Health Assoc. Inc., Dba Generations of Woodbury
- Generations Health Association Inc.Dba Generations of Woodbury
- Anna Goodwin
- Helana Maged Grant, DDS
- Kathryn Calahan Grissom
- Joei Leigh Harris, FNP
- Heart Felt Needs Counseling and Caring Center Inc
- Deborah Lee Hinkle, PHYSICIAN ASSISTANT
- Thea Rose Hofmeister, D.C.
- Sheryl Ann Howell, M.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.