Organization Active NPI

Wise Wellness Center LLC

  • Acupuncturist
  • Portage, MI
National Provider Identifier
1487029070
Registry record updated Dec 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
14827 Issued in CA
Legal business name
WISE WELLNESS CENTER LLC
Practice address
5080 Lovers LN
Suite C
Portage, MI 49002-1570
Phone
(619) 339-8407
NPI assigned
Dec 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2015

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

Authorized official

Name
Melissa Ann Toyoshima, L.AC.NPI 1235573981
Title
Acupuncturist
Phone
(619) 339-8407

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 14827 CA Primary

Addresses

Primary practice location

5080 Lovers LN
Suite C
Portage, MI 49002-1570

Mailing address

5080 Lovers LN
Suite C
Portage, MI 49002-1570
Phone (619) 339-8407

National Provider Directory

National Provider Directory

Locations

5080 Lovers Ln
Ste C
Portage, MI 49002
Phone (269) 312-8015

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": "1449532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449532800000",
    "number": "1487029070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5080 LOVERS LN",
            "address_2": "SUITE C",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490021570",
            "telephone_number": "619-339-8407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5080 LOVERS LN",
            "address_2": "SUITE C",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490021570",
            "telephone_number": "619-339-8407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISE WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-08",
        "last_updated": "2015-12-08",
        "status": "A",
        "authorized_official_last_name": "TOYOSHIMA",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "619-339-8407",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "14827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portage, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.