Kainai Clinic

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

ACU.0001879 Issued in CO

Legal business name

KAINAI CLINIC

Practice address

1333 W 120TH Ave
#211
Westminster, CO 80234-2708

Phone

(720) 722-3435

NPI assigned

Jul 2, 2013

Organization subpart

No

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

Authorized official

Name

Robbin Tallow, L.AC.

Title

Owner

Phone

(720) 722-3435

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1372723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372723200000",
    "number": "1679913933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5023 W 120TH AVE",
            "address_2": "#297",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800205606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 W 120TH AVE",
            "address_2": "#211",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802342708",
            "telephone_number": "720-722-3435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAINAI CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-02",
        "last_updated": "2013-07-02",
        "status": "A",
        "authorized_official_last_name": "TALLOW",
        "authorized_official_first_name": "ROBBIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-722-3435",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "ACU.0001879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Westminster, CO
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.