Organization Active NPI

Still Life Acupuncture

  • Acupuncturist
  • Santa Rosa, CA
National Provider Identifier
1710767298
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
STILL LIFE ACUPUNCTURE
Practice address
213 Pierce St
Santa Rosa, CA 95404-6625
Phone
(707) 583-3226
NPI assigned
Oct 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Authorized official

Name
Daniel Stolper, L.AC.NPI 1659060069
Title
Ceo/Treasurer/Secretary
Phone
(707) 583-3226

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X Primary
Pain Clinic/Center 261QP3300X

Addresses

Primary practice location

213 Pierce St
Santa Rosa, CA 95404-6625

Mailing address

213 Pierce St
Santa Rosa, CA 95404-6625
Phone (805) 458-4506

Other names 1

  • Still Life Acupuncture Inc. Former legal business name

National Provider Directory

National Provider Directory

Locations

213 Pierce St
Santa Rosa, CA 95404
Phone (707) 583-3226

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1696291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696291200000",
    "number": "1710767298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 PIERCE ST",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954046625",
            "telephone_number": "805-458-4506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 PIERCE ST",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954046625",
            "telephone_number": "707-583-3226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILL LIFE ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-03",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-02",
        "status": "A",
        "authorized_official_last_name": "STOLPER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CEO/TREASURER/SECRETARY",
        "authorized_official_telephone_number": "707-583-3226",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Still Life Acupuncture Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; 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.