Individual provider Active NPI

Bunzo Takamatsu, L. AC.

  • Acupuncturist
  • Dallas, TX
National Provider Identifier
1700035300
Registry record updated Sep 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC00145 Issued in TX
Practice address
12700 Preston Rd Ste 255
Dallas, TX 75230-1877
Phone
(972) 701-8755
NPI assigned
Sep 18, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC00145 TX Primary

Addresses

Primary practice location

12700 Preston Rd Ste 255
Dallas, TX 75230-1877

Mailing address

12700 Preston Rd Ste 255
Dallas, TX 75230-1877
Phone (972) 701-8755

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AC00145TXMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1221696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221696000000",
    "number": "1700035300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12700 PRESTON RD STE 255",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752301877",
            "telephone_number": "972-701-8755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12700 PRESTON RD STE 255",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752301877",
            "telephone_number": "972-701-8755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKAMATSU",
        "first_name": "BUNZO",
        "credential": "L. AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-18",
        "last_updated": "2008-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "TX",
            "license": "AC00145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; 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.