Organization Active NPI

Origin Complete Medicine

  • Acupuncturist
  • Raleigh, NC
National Provider Identifier
1497109839
Registry record updated Apr 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
ORIGIN COMPLETE MEDICINE
Practice address
302 Jefferson St Ste 170
Raleigh, NC 27605-3245
Phone
(919) 412-4131
NPI assigned
Apr 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2016

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

Authorized official

Name
Mr. Jonathon Kramer, L.AC
Title
Acupuncturist
Phone
(919) 412-4131

Specialties & licenses 1

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

Addresses

Primary practice location

302 Jefferson St Ste 170
Raleigh, NC 27605-3245

Mailing address

201 Maple Creek CT
Apex, NC 27502-6296
Phone (919) 363-5644

National Provider Directory

National Provider Directory

Locations

302 Jefferson St
Ste 170
Raleigh, NC 27605
Phone (919) 412-4131

NPI Registry JSON

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

{
    "created_epoch": "1461283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461283200000",
    "number": "1497109839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 MAPLE CREEK CT",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275026296",
            "telephone_number": "919-363-5644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 JEFFERSON ST STE 170",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276053245",
            "telephone_number": "919-412-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORIGIN COMPLETE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-22",
        "last_updated": "2016-04-22",
        "status": "A",
        "authorized_official_last_name": "KRAMER",
        "authorized_official_first_name": "JONATHON",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "919-412-4131",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2016; 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.