Active NPI
Maria Rafdal, L.AC
- Acupuncturist
- Minnetonka, MN
National Provider Identifier
1588082119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 1712
- Practice address
- 13911 Ridgedale Dr Ste 200
Minnetonka, MN 55305-1726 - Phone
- (612) 900-3263
- NPI assigned
- Apr 1, 2014
- Last updated
- May 9, 2016
- Sex
- Female
- 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 | 1712 | MN | Primary |
Addresses
Primary practice location
13911 Ridgedale Dr Ste 200
Minnetonka, MN 55305-1726
Mailing address
13911 Ridgedale Dr Ste 200
Minnetonka, MN 55305-1726
Phone (612) 900-3263
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1712 | MN | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462752000000",
"number": "1588082119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13911 RIDGEDALE DR STE 200",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553051726",
"telephone_number": "612-900-3263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13911 RIDGEDALE DR STE 200",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553051726",
"telephone_number": "612-900-3263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAFDAL",
"first_name": "MARIA",
"credential": "L.AC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-01",
"last_updated": "2016-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MN",
"license": "1712",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minnetonka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.