Serene Earth Acupuncture, LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

257121 Issued in MA

Legal business name

SERENE EARTH ACUPUNCTURE, LLC

Practice address

12 Boston St
Malden, MA 02148-7721

Phone

(781) 366-0881

NPI assigned

Jul 25, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Lani Rose Wong, M.AC., LIC.AC.NPI 1922445170

Title

Acupuncturist

Phone

(781) 366-0881

Specialties & licenses 1

Addresses

Other names 1

• Lani Wong, M.Ac., Lic.Ac. Other name

Locations

Practitioners 1

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

• Lani Rose Wong, LICAC, MAC

  • Acupuncturist
  • Cambridge, MA
  • NPI 1922445170
  NPD (past) Authorized official

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

{
    "created_epoch": "1469404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469404800000",
    "number": "1467905646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 3RD ST",
            "address_2": "SUITE 201",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021411265",
            "telephone_number": "781-366-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 BOSTON ST",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021487721",
            "telephone_number": "781-366-0881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENE EARTH ACUPUNCTURE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-25",
        "last_updated": "2016-07-25",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "LANI",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "781-366-0881",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.AC., LIC.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "MA",
            "license": "257121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lani Wong, M.Ac., Lic.Ac.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Laurel Segal
• Jordyn Seide
• Ashraf S Selim, M.D.
• Nakens Senat
• Matthew Paul Senesi, BA
• Patricia Ann Sereno, MD
• Parham Shahkar, DMD
• Cory D Shamblin
• Ajay K Sharma
• Amanda J Shaw, RN, BSN

• Acupuncturist in Malden, MA
• Providers in Malden, MA by specialty
• Acupuncturist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2016; 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.