Mended Roots Acupuncture and Wellness

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

MENDED ROOTS ACUPUNCTURE AND WELLNESS

Practice address

2 Shaker Rd Ste B007
Shirley, MA 01464-2585

Phone

(978) 813-1120

Fax

(978) 813-1126

NPI assigned

Nov 15, 2019

Last updated

Nov 15, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Isaac Muffoletto, LIC ACNPI 1205351772

Title

Owner/Acupuncturist

Phone

(978) 813-1120

Specialties & licenses 1

Addresses

Locations

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.

• Isaac Muffoletto

  • Acupuncturist
  • Shirley, MA
  • NPI 1205351772
  NPD Authorized official

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

{
    "created_epoch": "1573776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573776000000",
    "number": "1609411495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SHAKER RD STE B007",
            "city": "SHIRLEY",
            "state": "MA",
            "postal_code": "014642585",
            "telephone_number": "978-813-1120",
            "fax_number": "978-813-1126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SHAKER RD STE B007",
            "city": "SHIRLEY",
            "state": "MA",
            "postal_code": "014642585",
            "telephone_number": "978-813-1120",
            "fax_number": "978-813-1126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDED ROOTS ACUPUNCTURE AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-15",
        "last_updated": "2019-11-15",
        "status": "A",
        "authorized_official_last_name": "MUFFOLETTO",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_title_or_position": "OWNER/ACUPUNCTURIST",
        "authorized_official_telephone_number": "978-813-1120",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LIC AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Shirley, MA
• Providers in Shirley, MA by specialty
• Acupuncturist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2019; 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.