Organization Active NPI

Pathways Acupuncture, PLLC

  • Acupuncturist
  • Surprise, AZ
National Provider Identifier
1467919167
Registry record updated Feb 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
PATHWAYS ACUPUNCTURE, PLLC
Practice address
15278 W Bell Rd Ste 110
Surprise, AZ 85374-3100
Phone
(623) 533-6338
Fax
(877) 844-7569
NPI assigned
Feb 28, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2019

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

Authorized official

Name
Mr. David Sheitelman, DCNPI 1972597870
Title
President
Phone
(623) 688-5900

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
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

15278 W Bell Rd Ste 110
Surprise, AZ 85374-3100

Mailing address

15278 W Bell Rd Ste 110
Surprise, AZ 85374-3100
Phone (623) 533-6338

Other identifiers 1

IdentifierTypeStateIssuer
NAOtherAZNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210803002728 AZ Part B Supplier - Clinic/Group Practice 9739583485 Receives reassigned benefits from 2 practitioners
Practice locations: Surprise, AZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1551312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551312000000",
    "number": "1467919167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15278 W BELL RD STE 110",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853743100",
            "telephone_number": "623-533-6338",
            "fax_number": "949-543-2764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15278 W BELL RD STE 110",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853743100",
            "telephone_number": "623-533-6338",
            "fax_number": "877-844-7569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS ACUPUNCTURE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-28",
        "last_updated": "2019-02-28",
        "status": "A",
        "authorized_official_last_name": "SHEITELMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-688-5900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "NA",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.