Organization Active NPI

Acupuncture and Diabetes Management LLC

Doing business as Premier Acupuncture of Boulder

  • Acupuncturist
  • Boulder, CO
National Provider Identifier
1477820322
Registry record updated Nov 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
ACU-1530 Issued in CO
Legal business name
ACUPUNCTURE AND DIABETES MANAGEMENT LLC
Doing business as
Premier Acupuncture of Boulder
Practice address
2935 Baseline Rd
Suite 102
Boulder, CO 80303-2366
Phone
(720) 938-9248
NPI assigned
Nov 21, 2011
Last updated
Nov 21, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2011

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

Authorized official

Name
Christina Roy, DIPL. OM, L.AC.NPI 1588997076
Title
Licensed Acupuncturist
Phone
(720) 938-9248

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X ACU-1530 CO Primary

Addresses

Primary practice location

2935 Baseline Rd
Suite 102
Boulder, CO 80303-2366

Mailing address

2935 Baseline Rd
Suite 102
Boulder, CO 80303-2366
Phone (720) 938-9248

Other names 1

  • Premier Acupuncture of Boulder Doing business as

National Provider Directory

National Provider Directory

Locations

2935 Baseline Rd
Ste 102
Boulder, CO 80303
Phone (303) 247-0028

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": "1321833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321833600000",
    "number": "1477820322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2935 BASELINE RD",
            "address_2": "SUITE 102",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803032366",
            "telephone_number": "720-938-9248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2935 BASELINE RD",
            "address_2": "SUITE 102",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803032366",
            "telephone_number": "720-938-9248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACUPUNCTURE AND DIABETES MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-21",
        "last_updated": "2011-11-21",
        "status": "A",
        "authorized_official_last_name": "ROY",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "LICENSED ACUPUNCTURIST",
        "authorized_official_telephone_number": "720-938-9248",
        "authorized_official_credential": "DIPL. OM, L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "ACU-1530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Acupuncture of Boulder",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2011; 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.