Three Moons Acupuncture, LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

839-55 Issued in WI

Legal business name

THREE MOONS ACUPUNCTURE, LLC

Practice address

310 Old Green Bay Rd
Kenosha, WI 53144-1125

Phone

(262) 977-8793

Fax

(262) 997-1327

NPI assigned

Oct 5, 2017

Organization subpart

No

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

Authorized official

Name

Kimberly Marie Filkins, L.AC.NPI 1174931711

Title

Owner / Member

Phone

(262) 977-8793

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kimberly Filkins

  • Acupuncturist
  • Racine, WI
  • NPI 1174931711
  NPD Authorized official

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

{
    "created_epoch": "1507161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507161600000",
    "number": "1477063352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3708 ASTORIA DR",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534023308",
            "telephone_number": "262-977-8793",
            "fax_number": "262-997-1327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 OLD GREEN BAY RD",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531441125",
            "telephone_number": "262-977-8793",
            "fax_number": "262-997-1327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE MOONS ACUPUNCTURE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-05",
        "last_updated": "2017-10-05",
        "status": "A",
        "authorized_official_last_name": "FILKINS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER / MEMBER",
        "authorized_official_telephone_number": "262-977-8793",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "WI",
            "license": "839-55",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Junith M Thompson, MD
• Michael Bartlett Thompson, D.P.M.
• Nancy C Thompson, RN
• Nicole Marie Thompson, OTR/L
• Tuanquilla Montessa Thompson, LCSW
• Thrive Therapy Services LLC
• Dean Tiboris, DMD
• Steven Ticknor, OD
• Kathryn A Tigue
• Tina Marie Tihen, PHYSICAL THERAPIST A

• Acupuncturist in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Acupuncturist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2017; 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.