Meddleton & Berg LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

087 Issued in AK

Legal business name

MEDDLETON & BERG LLC

Doing business as

Alaska Center for Acupuncture

Practice address

642 S Alaska St Ste 208
Palmer, AK 99645-6378

Phone

(907) 745-8688

Fax

(907) 745-8987

NPI assigned

Mar 16, 2007

Last updated

Jun 20, 2008By 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. Kevin Patrick Meddleton, M.AC., L.AC.

Title

Owner

Phone

(907) 745-8688

Specialties & licenses 1

Addresses

Other names 1

• Alaska Center for Acupuncture Doing business as

Locations

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1639293616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "642 S ALASKA ST STE 208",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996456378",
            "telephone_number": "907-745-8688",
            "fax_number": "907-745-8987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "642 S ALASKA ST STE 208",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996456378",
            "telephone_number": "907-745-8688",
            "fax_number": "907-745-8987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDDLETON & BERG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "MEDDLETON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-745-8688",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.AC., L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "AK",
            "license": "087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alaska Center for Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Acupuncturist in Palmer, AK
• Providers in Palmer, AK by specialty
• Acupuncturist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; 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.