NPIMap

Organization Active NPI

Eagle River Acupuncture LLC.

  • Acupuncturist
  • Eagle River, AK
National Provider Identifier
1609045459
Registry record updated Jan 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
A112 Issued in AK
Legal business name
EAGLE RIVER ACUPUNCTURE LLC.
Practice address
11723 Old Glenn Hwy
Suite 205
Eagle River, AK 99577-7733
Phone
(907) 726-5200
NPI assigned
Feb 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2011

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

Authorized official

Name
Leif C. Lidin-Lamon, L.AC.
Title
Owner
Phone
(907) 726-5200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X A112 AK Primary

Addresses

Primary practice location

11723 Old Glenn Hwy
Suite 205
Eagle River, AK 99577-7733

Mailing address

11723 Old Glenn Hwy
Suite 205
Eagle River, AK 99577-7733
Phone (907) 726-5200

Other names 1

  • Eagle River Acupuncture Doing business as

National Provider Directory

National Provider Directory

Locations

11723 Old Glenn Hwy
Ste 205
Eagle River, AK 99577
Phone (435) 817-0812

NPI Registry JSON

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296172800000",
    "number": "1609045459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11723 OLD GLENN HWY",
            "address_2": "SUITE 205",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777733",
            "telephone_number": "907-726-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11723 OLD GLENN HWY",
            "address_2": "SUITE 205",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777733",
            "telephone_number": "907-726-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE RIVER ACUPUNCTURE LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-26",
        "last_updated": "2011-01-28",
        "status": "A",
        "authorized_official_last_name": "LIDIN-LAMON",
        "authorized_official_first_name": "LEIF",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-726-5200",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "AK",
            "license": "A112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eagle River Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eagle River, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2011; 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.