Organization Active NPI

Sun Bird Acupuncture & Traditional Herbs Clinic LLC

  • Health Maintenance Organization
  • Phoenix, AZ
National Provider Identifier
1548603467
Registry record updated Apr 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
0844 Issued in AZ
Legal business name
SUN BIRD ACUPUNCTURE & TRADITIONAL HERBS CLINIC LLC
Practice address
1845 W Marlette Ave
Phoenix, AZ 85015-2039
Phone
(623) 552-0944
NPI assigned
Apr 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2013

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

Authorized official

Name
Peng Sun, DTCMNPI 1376871723
Title
Manger
Phone
(623) 552-0944

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
Health Maintenance Organization 302R00000X 0844 AZ Primary

Addresses

Primary practice location

1845 W Marlette Ave
Phoenix, AZ 85015-2039

Mailing address

1845 W Marlette Ave
Phoenix, AZ 85015-2039
Phone (623) 552-0944

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1365552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365552000000",
    "number": "1548603467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 W MARLETTE AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850152039",
            "telephone_number": "623-552-0944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 W MARLETTE AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850152039",
            "telephone_number": "623-552-0944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN BIRD ACUPUNCTURE & TRADITIONAL HERBS CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-10",
        "last_updated": "2013-04-10",
        "status": "A",
        "authorized_official_last_name": "SUN",
        "authorized_official_first_name": "PENG",
        "authorized_official_title_or_position": "MANGER",
        "authorized_official_telephone_number": "623-552-0944",
        "authorized_official_credential": "DTCM"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "AZ",
            "license": "0844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2013; 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.