NPIMap

Organization Active NPI

Missoula Acupuncture, Inc

  • Acupuncturist
  • Missoula, MT
National Provider Identifier
1720459456
Registry record updated Oct 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
MED-ACU-LIC-109 Issued in MT
Legal business name
MISSOULA ACUPUNCTURE, INC
Practice address
3031 S Russell St Ste 1
Missoula, MT 59801-8523
Phone
(406) 728-1600
Fax
(406) 327-6702
NPI assigned
Oct 7, 2015
Last updated
Oct 7, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2015

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

Authorized official

Name
Dallas Seaber, M.AC.O.M.NPI 1518087659
Title
Acupuncturist
Phone
(406) 546-8573

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X MED-ACU-LIC-109 MT Primary

Addresses

Primary practice location

3031 S Russell St Ste 1
Missoula, MT 59801-8523

Mailing address

3031 S Russell St Ste 1
Missoula, MT 59801-8523
Phone (406) 728-1600

National Provider Directory

National Provider Directory
Tax ID family
Acupuncture Clinic of Missoula Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

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": "1444176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444176000000",
    "number": "1720459456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3031 S RUSSELL ST STE 1",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598018523",
            "telephone_number": "406-728-1600",
            "fax_number": "406-327-6702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3031 S RUSSELL ST STE 1",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598018523",
            "telephone_number": "406-728-1600",
            "fax_number": "406-327-6702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSOULA ACUPUNCTURE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-07",
        "last_updated": "2015-10-07",
        "status": "A",
        "authorized_official_last_name": "SEABER",
        "authorized_official_first_name": "DALLAS",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "406-546-8573",
        "authorized_official_credential": "M.AC.O.M."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "MT",
            "license": "MED-ACU-LIC-109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; 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.