Organization Active NPI

Acupuncture and Healing Arts Medical Group

  • Acupuncturist
  • Memphis, TN
National Provider Identifier
1487025524
Registry record updated Oct 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
92 Issued in TN
Legal business name
ACUPUNCTURE AND HEALING ARTS MEDICAL GROUP
Practice address
5575 Poplar Ave Ste 702
Memphis, TN 38119-3857
Phone
(901) 763-0909
NPI assigned
Oct 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2015

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

Authorized official

Name
Charles Martin Sullivan, L.AC.
Title
Owner/Acupuncturist
Phone
(901) 763-0909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 92 TN Primary

Addresses

Primary practice location

5575 Poplar Ave Ste 702
Memphis, TN 38119-3857

Mailing address

5575 Poplar Ave Ste 702
Memphis, TN 38119-3857
Phone (901) 763-0909

National Provider Directory

National Provider Directory

Locations

5575 Poplar Ave
Ste 702
Memphis, TN 38119
Phone (901) 763-0909

Practitioners & affiliated clinicians

Practitioners 2

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": "1444867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444867200000",
    "number": "1487025524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5575 POPLAR AVE STE 702",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381193857",
            "telephone_number": "901-763-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5575 POPLAR AVE STE 702",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381193857",
            "telephone_number": "901-763-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACUPUNCTURE AND HEALING ARTS MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-15",
        "last_updated": "2015-10-15",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER/ACUPUNCTURIST",
        "authorized_official_telephone_number": "901-763-0909",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "TN",
            "license": "92",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2015; 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.