Organization Active NPI

Acupuncture and Oriental Medicine Services, LLC

  • Health Service Clinic/Center
  • Wauwatosa, WI
National Provider Identifier
1629814959
Registry record updated Jul 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
ACUPUNCTURE AND ORIENTAL MEDICINE SERVICES, LLC
Practice address
8736 W North Ave Unit 1
Wauwatosa, WI 53226-2748
Phone
(414) 431-5010
Fax
(414) 431-5011
NPI assigned
Jul 5, 2024
Last updated
Jul 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2024

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

Authorized official

Name
Debra Lee Matzen, MSOM, DIPL., LACNPI 1932268091
Title
Owner
Phone
(414) 431-5010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X NU Primary

Addresses

Primary practice location

8736 W North Ave Unit 1
Wauwatosa, WI 53226-2748

Mailing address

8736 W North Ave Unit 1
Wauwatosa, WI 53226-2748
Phone (414) 431-5010

National Provider Directory

National Provider Directory

Locations

8736 W North Ave
Unit 1
Wauwatosa, WI 53226
Phone (414) 431-5010

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1720137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720137600000",
    "number": "1629814959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8736 W NORTH AVE UNIT 1",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532262748",
            "telephone_number": "414-431-5010",
            "fax_number": "414-431-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8736 W NORTH AVE UNIT 1",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532262748",
            "telephone_number": "414-431-5010",
            "fax_number": "414-431-5011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACUPUNCTURE AND ORIENTAL MEDICINE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-05",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A",
        "authorized_official_last_name": "MATZEN",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-431-5010",
        "authorized_official_credential": "MSOM, DIPL., LAC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wauwatosa, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2024; 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.