NPIMap

Organization Active NPI

Fire Dragon Acupuncture Inc

  • Acupuncturist
  • Bainbridge Island, WA
National Provider Identifier
1669096210
Registry record updated Jun 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
FIRE DRAGON ACUPUNCTURE INC
Practice address
9431 Coppertop Loop NE Unit 206
Bainbridge Island, WA 98110-3728
Phone
(206) 780-6988
Fax
(206) 686-3385
NPI assigned
May 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2020

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

Authorized official

Name
Bajda Valentina Welty, EAMP, LMPNPI 1477626323
Title
President
Phone
(206) 780-6988

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171100000X Primary
Massage TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225700000X

Addresses

Primary practice location

9431 Coppertop Loop NE Unit 206
Bainbridge Island, WA 98110-3728

Mailing address

PO Box 10578
Bainbridge Island, WA 98110-0578
Phone (206) 227-9768

National Provider Directory

National Provider Directory

Locations

9431 Coppertop Loop NE
Unit 206
Bainbridge Island, WA 98110
Phone (206) 780-6988

Practitioners & affiliated clinicians

Practitioners 3

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": "1590710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592179200000",
    "number": "1669096210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10578",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981100578",
            "telephone_number": "206-227-9768",
            "fax_number": "206-686-3385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9431 COPPERTOP LOOP NE UNIT 206",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981103728",
            "telephone_number": "206-780-6988",
            "fax_number": "206-686-3385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRE DRAGON ACUPUNCTURE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-29",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A",
        "authorized_official_last_name": "WELTY",
        "authorized_official_first_name": "BAJDA",
        "authorized_official_middle_name": "VALENTINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-780-6988",
        "authorized_official_credential": "EAMP, LMP"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bainbridge Island, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; 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.