Molly Enders, MS, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

66.000026 Issued in OH

Practice address

24300 Chagrin Blvd Ste 107
Beachwood, OH 44122-5629

Phone

(216) 973-7289

Fax

(216) 342-7077

NPI assigned

Jun 19, 2009

Last updated

Mar 18, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1245369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584489600000",
    "number": "1619104304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2359 EDGERTON RD",
            "city": "UNIVERSITY HTS",
            "state": "OH",
            "postal_code": "441183736",
            "telephone_number": "216-973-7289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24300 CHAGRIN BLVD STE 107",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225629",
            "telephone_number": "216-973-7289",
            "fax_number": "216-342-7077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3690 Orange Pl Ste 250",
            "address_purpose": "LOCATION",
            "city": "Beachwood",
            "state": "OH",
            "postal_code": "441224438",
            "country_code": "US",
            "telephone_number": "216-973-7289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENDERS",
        "first_name": "MOLLY",
        "name_prefix": "Ms.",
        "credential": "MS, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-19",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OH",
            "license": "65.000140",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OH",
            "license": "66.000026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0278777",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Beachwood, OH
• Providers in Beachwood, OH by specialty
• Acupuncturist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; 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.