NPIMap

Organization Active NPI

Ardent Living Acupuncture Inc.

  • Acupuncturist
  • Madison, WI
National Provider Identifier
1679905293
Registry record updated Aug 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
794-55 Issued in WI
Legal business name
ARDENT LIVING ACUPUNCTURE INC.
Practice address
4710 E Broadway Ste 190
Madison, WI 53716-4105
Phone
(217) 622-4845
NPI assigned
Aug 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2013

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

Authorized official

Name
Tobias D Donaker, C.A.NPI 1205258621
Title
Owner
Phone
(217) 622-4845

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 794-55 WI Primary

Addresses

Primary practice location

4710 E Broadway Ste 190
Madison, WI 53716-4105

Mailing address

933 E Johnson St
Madison, WI 53703-1621
Phone (217) 622-4845

National Provider Directory

National Provider Directory

Locations

4710 E Broadway
Ste 190
Madison, WI 53716
Phone (217) 622-4845

Practitioners & affiliated clinicians

Practitioners 1

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": "1375747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375747200000",
    "number": "1679905293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 E JOHNSON ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537031621",
            "telephone_number": "217-622-4845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4710 E BROADWAY STE 190",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537164105",
            "telephone_number": "217-622-4845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARDENT LIVING ACUPUNCTURE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-06",
        "last_updated": "2013-08-06",
        "status": "A",
        "authorized_official_last_name": "DONAKER",
        "authorized_official_first_name": "TOBIAS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-622-4845",
        "authorized_official_credential": "C.A."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "WI",
            "license": "794-55",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2013; 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.