Soul Potential Acupuncture and Wellness, LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

ACU.0002236 Issued in CO

Legal business name

SOUL POTENTIAL ACUPUNCTURE AND WELLNESS, LLC

Practice address

1189 S Perry St
Suite 150
Castle Rock, CO 80104-1959

Phone

(720) 772-7588

NPI assigned

Mar 30, 2017

Organization subpart

No

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

Authorized official

Name

Vonda Muncy

Title

Clinic Director, Owner

Phone

(720) 772-7588

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1490832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490832000000",
    "number": "1558893453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MILLER CT",
            "address_2": "# 445",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801048436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1189 S PERRY ST",
            "address_2": "SUITE 150",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801041959",
            "telephone_number": "720-772-7588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUL POTENTIAL ACUPUNCTURE AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-30",
        "last_updated": "2017-03-30",
        "status": "A",
        "authorized_official_last_name": "MUNCY",
        "authorized_official_first_name": "VONDA",
        "authorized_official_title_or_position": "CLINIC DIRECTOR, OWNER",
        "authorized_official_telephone_number": "720-772-7588"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "ACU.0002236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Castle Rock, CO
• Providers in Castle Rock, CO by specialty
• Acupuncturist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; 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.