Active NPI
Joseph Siuda, L.AC.
- Acupuncturist
- Idaho Falls, ID
National Provider Identifier
1659843753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- ACU-197
- Practice address
- 1421 1St St
Idaho Falls, ID 83401-4112 - Phone
- (208) 403-2540
- NPI assigned
- Dec 30, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | ACU-197 | ID | Primary |
Addresses
Primary practice location
1421 1St St
Idaho Falls, ID 83401-4112
Mailing address
1421 1St St
Idaho Falls, ID 83401-4112
Phone (208) 403-2540
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ACU-197 | ID | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546128000000",
"number": "1659843753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1421 1ST ST",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834014112",
"telephone_number": "208-403-2540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1421 1ST ST",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834014112",
"telephone_number": "208-403-2540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIUDA",
"first_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "L.AC.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-12-30",
"last_updated": "2018-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "ID",
"license": "ACU-197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Idaho Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.