Organization Active NPI

Bluemoon Acupuncture and Wellness Center

  • Acupuncturist
  • Oro Valley, AZ
National Provider Identifier
1659811172
Registry record updated Mar 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
BLUEMOON ACUPUNCTURE AND WELLNESS CENTER
Practice address
10371 N Oracle Rd
Suite 101a
Oro Valley, AZ 85737-9392
Phone
(520) 505-1442
NPI assigned
Mar 2, 2017
Last updated
Mar 2, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2017

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

Authorized official

Name
Mrs. Mojgan Rezaei, ACUPUNCTURE PRACTIONNPI 1174045736
Title
Ceo
Phone
(520) 505-1442

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
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

10371 N Oracle Rd
Suite 101a
Oro Valley, AZ 85737-9392

Mailing address

10371 N Oracle Rd
Suite 101a
Oro Valley, AZ 85737-9392
Phone (520) 505-1442

National Provider Directory

National Provider Directory

Locations

10371 N Oracle Rd
Ste 202
Oro Valley, AZ 85737
Phone (520) 505-1442

10371 N Oracle Rd
Ste 101A
Oro Valley, AZ 85737
Phone (520) 505-1404

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": "1488412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488412800000",
    "number": "1659811172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10371 N ORACLE RD",
            "address_2": "SUITE 101A",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857379392",
            "telephone_number": "520-505-1442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10371 N ORACLE RD",
            "address_2": "SUITE 101A",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857379392",
            "telephone_number": "520-505-1442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEMOON ACUPUNCTURE AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-02",
        "last_updated": "2017-03-02",
        "status": "A",
        "authorized_official_last_name": "REZAEI",
        "authorized_official_first_name": "MOJGAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "520-505-1442",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ACUPUNCTURE PRACTION"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oro Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; 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.