Organization Active NPI

Gentle Tides Acupuncture LLC

Doing business as Gentle Tides Acupuncture

  • Acupuncturist
  • Kailua Kona, HI
National Provider Identifier
1467148833
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
GENTLE TIDES ACUPUNCTURE LLC
Doing business as
Gentle Tides Acupuncture
Practice address
75-5591 Palani Rd Ste 201
Kailua Kona, HI 96740-3632
Phone
(808) 491-7433
NPI assigned
Apr 18, 2023
Last updated
Apr 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Authorized official

Name
Rosemary Rast, L.AC.NPI 1467118299
Title
Owner
Phone
(808) 491-7433

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

75-5591 Palani Rd Ste 201
Kailua Kona, HI 96740-3632

Mailing address

PO Box 2175
Kailua Kona, HI 96745-2175

Other names 1

  • Gentle Tides Acupuncture Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Gentle Tides Acupuncture2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

75-5591 Palani Rd
Ste 201
Kailua Kona, HI 96740
Phone (808) 329-2114

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": "1681776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681776000000",
    "number": "1467148833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2175",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967452175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75-5591 PALANI RD STE 201",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967403632",
            "telephone_number": "808-491-7433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE TIDES ACUPUNCTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-04-18",
        "certification_date": "2021-11-16",
        "status": "A",
        "authorized_official_last_name": "RAST",
        "authorized_official_first_name": "ROSEMARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-491-7433",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gentle Tides Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kailua Kona, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; 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.