Active NPI
Oriental Medicine LLC
- Health Service Clinic/Center
- Colorado Springs, CO
National Provider Identifier
1689806697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- 1522
- Legal business name
- ORIENTAL MEDICINE LLC
- Practice address
- 2812 W Colorado Ave
Suite 104
Colorado Springs, CO 80904-2470 - Phone
- (719) 446-0046
- Fax
- (719) 687-7118
- NPI assigned
- Aug 10, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charlotte R Watts, LAC
- Title
- Acupuncturist/Business Owner
- Phone
- (719) 447-0046
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | 1522 | CO | Primary |
Addresses
Primary practice location
2812 W Colorado Ave
Suite 104
Colorado Springs, CO 80904-2470
Mailing address
2812 W Colorado Ave
Suite 104
Colorado Springs, CO 80904-2470
Phone (719) 446-0046
Other names 1
- Premier Acupuncture Clinic of Colorado Springs
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249862400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1249862400000",
"number": "1689806697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2812 W COLORADO AVE",
"address_2": "SUITE 104",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809042470",
"telephone_number": "719-446-0046",
"fax_number": "719-687-7118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2812 W COLORADO AVE",
"address_2": "SUITE 104",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809042470",
"telephone_number": "719-446-0046",
"fax_number": "719-687-7118"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORIENTAL MEDICINE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-10",
"last_updated": "2009-08-10",
"status": "A",
"authorized_official_last_name": "WATTS",
"authorized_official_first_name": "CHARLOTTE",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "ACUPUNCTURIST/BUSINESS OWNER",
"authorized_official_telephone_number": "719-447-0046",
"authorized_official_credential": "LAC"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "CO",
"license": "1522",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Premier Acupuncture Clinic of Colorado Springs",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.