Individual provider Active NPI

Andrew Romoda, L.AC

  • Acupuncturist
  • Longmont, CO
National Provider Identifier
1700539475
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
ACU.0002722 Issued in CO
Practice address
1225 Ken Pratt Blvd Unit 222
Longmont, CO 80501-9017
Phone
(303) 772-3100
NPI assigned
Feb 1, 2022
Last updated
Feb 1, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171100000X ACU.0002722 CO Primary

Addresses

Primary practice location

1225 Ken Pratt Blvd Unit 222
Longmont, CO 80501-9017

Mailing address

1225 Ken Pratt Blvd Unit 222
Longmont, CO 80501-9017
Phone (303) 772-3100

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
ACU.0002722COMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
4 Active Health Inc Single Specialty CurrentSince Feb 6, 2022 Accepting new patients
Larimore Chiropractic & Massage LLC Single Specialty CurrentSince Feb 6, 2022 Accepting new patients

Locations

1225 Ken Pratt Blvd
Unit 222
Longmont, CO 80501
Phone (303) 772-3100

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1700539475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 KEN PRATT BLVD UNIT 222",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805019017",
            "telephone_number": "303-772-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 KEN PRATT BLVD UNIT 222",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805019017",
            "telephone_number": "303-772-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMODA",
        "first_name": "ANDREW",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-01",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "ACU.0002722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; 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.