Modern Oriental Medicine PC Inc

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

1434 Issued in CO

Legal business name

MODERN ORIENTAL MEDICINE PC INC

Practice address

6059 S Quebec St Ste 103
Centennial, CO 80111-4522

Phone

(303) 773-1166

NPI assigned

Sep 5, 2012

Organization subpart

No

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

Authorized official

Name

Heidi Alexander, L.AC.

Title

Owner/Acupuncturist

Phone

(303) 773-1166

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346803200000",
    "number": "1669721635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6059 S QUEBEC ST STE 103",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801114522",
            "telephone_number": "303-773-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6059 S QUEBEC ST STE 103",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801114522",
            "telephone_number": "303-773-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN ORIENTAL MEDICINE PC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-05",
        "last_updated": "2012-09-05",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "OWNER/ACUPUNCTURIST",
        "authorized_official_telephone_number": "303-773-1166",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "1434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Centennial, CO
• Providers in Centennial, CO by specialty
• Acupuncturist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; 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.