City Acupuncture

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

License

1046 Issued in AZ

Legal business name

CITY ACUPUNCTURE

Practice address

300 S Park Ave
Tucson, AZ 85719-6130

Phone

(520) 332-5509

NPI assigned

Oct 19, 2016

Last updated

Oct 19, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

PROVIDENCE ENTERPRISES LLCAs reported in NPPES

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

Authorized official

Name

Jennifer Providence, LACNPI 1679025605

Title

Owner

Phone

(520) 332-5509

Specialties & licenses 1

Addresses

Other names 1

• Providence Enterprises LLC Other name

Part of

City Acupuncture

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Providence, LAC

  • Acupuncturist
  • Tucson, AZ
  • NPI 1679025605
  NPD (past) Authorized official

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476835200000",
    "number": "1689125171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3349 E PRESIDIO RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857161633",
            "telephone_number": "520-332-5509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S PARK AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857196130",
            "telephone_number": "520-332-5509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY ACUPUNCTURE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROVIDENCE ENTERPRISES LLC",
        "enumeration_date": "2016-10-19",
        "last_updated": "2016-10-19",
        "status": "A",
        "authorized_official_last_name": "PROVIDENCE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-332-5509",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "AZ",
            "license": "1046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Providence Enterprises LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sabrina Cisneros
• Martin Cisneroz
• Jay Citrin, DDS
• Timothy James Citro, DC
• Phillip Dennis Citron, MD
• City of Tucson (Tucson Fire Department)
• Jacqueline Marie Ciufo
• Anthony Ciurro
• Civano Dental Care PC
• Civano Speech & Language PLLC

• Pain Clinic/Center in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Pain Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; 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.