Organization Active NPI

Village Acupuncture and Massage Therapy

  • Acupuncturist
  • Saint Paul, MN
National Provider Identifier
1518348358
Registry record updated Jun 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
1425 Issued in MN
Legal business name
VILLAGE ACUPUNCTURE AND MASSAGE THERAPY
Practice address
730 Cleveland Ave S
Saint Paul, MN 55116-1345
Phone
(651) 756-8525
Fax
(612) 699-1207
NPI assigned
Jun 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2015

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

Authorized official

Name
Teresa Grau
Title
Director of Operations
Phone
65169986140

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 1425 MN Primary

Addresses

Primary practice location

730 Cleveland Ave S
Saint Paul, MN 55116-1345

Mailing address

730 Cleveland Ave S
Saint Paul, MN 55116-1345
Phone (651) 756-8525

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434499200000",
    "number": "1518348358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 CLEVELAND AVE S",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551161345",
            "telephone_number": "651-756-8525",
            "fax_number": "612-699-1207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 CLEVELAND AVE S",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551161345",
            "telephone_number": "651-756-8525",
            "fax_number": "612-699-1207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE ACUPUNCTURE AND MASSAGE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-17",
        "last_updated": "2015-06-17",
        "status": "A",
        "authorized_official_last_name": "GRAU",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "65169986140"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "MN",
            "license": "1425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.