Active NPI
Jason Gauruder, LAC
- Acupuncturist
- Berkley, MI
National Provider Identifier
1710353776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 5402000006
- Practice address
- 1130 Catalpa Dr
Berkley, MI 48072-2095 - Phone
- (248) 951-8897
- NPI assigned
- Aug 13, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 5402000006 | MI | Primary |
Addresses
Primary practice location
1130 Catalpa Dr
Berkley, MI 48072-2095
Mailing address
610 W Saratoga St
Ferndale, MI 48220-3338
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garuda Health LLC | Acupuncturist | Current | Accepting new patients |
Locations
1130 Catalpa Dr
Berkley, MI 48072
Phone (248) 546-2030
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Acupuncturist
- Berkley, MI
- NPI 1407570963
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664323200000",
"number": "1710353776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 W SARATOGA ST",
"city": "FERNDALE",
"state": "MI",
"postal_code": "482203338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 CATALPA DR",
"city": "BERKLEY",
"state": "MI",
"postal_code": "480722095",
"telephone_number": "248-951-8897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAURUDER",
"first_name": "JASON",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-08-13",
"last_updated": "2022-09-28",
"certification_date": "2022-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MI",
"license": "5402000006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berkley, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.