Active NPI
Miguel Angel Bautista, L.AC.
- Acupuncturist
- Milwaukee, WI
National Provider Identifier
1528290327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 637-055
- Practice address
- 4318 W. Foresthowe Ave.
Milwaukee, WI 53219 - Phone
- (847) 224-6159
- Fax
- (847) 829-3991
- NPI assigned
- Aug 13, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 637-055 | WI | Primary |
Addresses
Primary practice location
4318 W. Foresthowe Ave.
Milwaukee, WI 53219
Mailing address
4318 W. Forest Home Ave.
Milwaukee, WI 53219
Phone (847) 224-6159
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 637-055 | WI | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251763200000",
"number": "1528290327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4318 W. FOREST HOME AVE.",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "53219",
"telephone_number": "847-224-6159",
"fax_number": "847-829-3991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4318 W. FORESTHOWE AVE.",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "53219",
"telephone_number": "847-224-6159",
"fax_number": "847-829-3991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUTISTA",
"first_name": "MIGUEL",
"middle_name": "ANGEL",
"credential": "L.AC.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-13",
"last_updated": "2009-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "WI",
"license": "637-055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.