NPIMap

Organization Active NPI

Ageless Acupuncture LLC

  • Acupuncturist
  • Seattle, WA
National Provider Identifier
1659883247
Registry record updated Nov 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC60114166 Issued in WA
Legal business name
AGELESS ACUPUNCTURE LLC
Practice address
1515 1St Ave
Seattle, WA 98101-1523
Phone
(206) 903-1888
Fax
(206) 903-1893
NPI assigned
Nov 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2017

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

Authorized official

Name
Maria Portnaya, LACNPI 1871827824
Title
Owner
Phone
(206) 903-1888

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 AC60114166 WA Primary

Addresses

Primary practice location

1515 1St Ave
Seattle, WA 98101-1523

Mailing address

1515 1St Ave
Seattle, WA 98101-1523
Phone (206) 903-1888

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1509667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509667200000",
    "number": "1659883247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 1ST AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011523",
            "telephone_number": "206-903-1888",
            "fax_number": "206-903-1893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 1ST AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011523",
            "telephone_number": "206-903-1888",
            "fax_number": "206-903-1893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGELESS ACUPUNCTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-03",
        "last_updated": "2017-11-03",
        "status": "A",
        "authorized_official_last_name": "PORTNAYA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-903-1888",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC60114166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.