NPIMap

Organization Active NPI

Acupuncture Center of Los Alamos

  • Acupuncturist
  • Los Alamos, NM
National Provider Identifier
1720109101
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
534 Issued in NM
Legal business name
ACUPUNCTURE CENTER OF LOS ALAMOS
Practice address
2610 Trinity Dr
Suite 14
Los Alamos, NM 87544-2376
Phone
(505) 663-1339
Fax
(505) 662-7371
NPI assigned
Apr 3, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Andrea Johansen, DOMNPI 1568556660
Title
President
Phone
(505) 663-1339

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 534 NM Primary

Addresses

Primary practice location

2610 Trinity Dr
Suite 14
Los Alamos, NM 87544-2376

Mailing address

2610 Trinity Dr
Suite 14
Los Alamos, NM 87544-2376
Phone (505) 663-1339

National Provider Directory

National Provider Directory

Locations

557 Oppenheimer Dr
Ste 100
Los Alamos, NM 87544
Phone (505) 490-2149

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720109101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2610 TRINITY DR",
            "address_2": "SUITE 14",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875442376",
            "telephone_number": "505-663-1339",
            "fax_number": "505-662-7371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 TRINITY DR",
            "address_2": "SUITE 14",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875442376",
            "telephone_number": "505-663-1339",
            "fax_number": "505-662-7371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACUPUNCTURE CENTER OF LOS ALAMOS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHANSEN",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-663-1339",
        "authorized_official_credential": "DOM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "NM",
            "license": "534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamos, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.