Total Health Clinic Inc.

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

TOTAL HEALTH CLINIC INC.

Practice address

5178 Central Ave NE
Columbia Heights, MN 55421

Phone

(763) 586-6045

Fax

(763) 586-1098

NPI assigned

Dec 26, 2006

Organization subpart

No

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

Authorized official

Name

Shaojie Lu, L.ACNPI 1407378565

Title

President

Phone

(763) 586-6045

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shaojie Lu, L.AC.

  • Acupuncturist
  • Columbia Heights, MN
  • NPI 1407378565
  NPD Authorized official
• Kristin Haugan, M.D.

  • Family Medicine Physician
  • Edina, MN
  • NPI 1548235443
  NPD (past)
• David Lu

  • Acupuncturist
  • Fridley, MN
  • NPI 1306901921
  NPD (past)
• Daniela Tank, D.O.

  • Family Medicine Physician
  • San Jose, CA
  • NPI 1841277837
  NPD (past)

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657843200000",
    "number": "1639234263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5178 CENTRAL AVE NE",
            "city": "COLUMBIA HEIGHTS",
            "state": "MN",
            "postal_code": "554211825",
            "telephone_number": "763-586-6045",
            "fax_number": "763-586-1098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5178 CENTRAL AVE NE",
            "city": "COLUMBIA HEIGHTS",
            "state": "MN",
            "postal_code": "55421",
            "telephone_number": "763-586-6045",
            "fax_number": "763-586-1098"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2700 1st St N Ste 108",
            "address_purpose": "LOCATION",
            "city": "Saint Cloud",
            "state": "MN",
            "postal_code": "563034582",
            "country_code": "US",
            "telephone_number": "320-253-5352",
            "fax_number": "763-586-1098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TOTAL HEALTH CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A",
        "authorized_official_last_name": "LU",
        "authorized_official_first_name": "SHAOJIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-586-6045",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "3900177",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURE",
            "identifier": "0685",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Columbia Heights, MN
• Providers in Columbia Heights, MN by specialty
• Acupuncturist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; 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.