Patchamol Kanjanakuha

Primary specialty

AcupuncturistTaxonomy code 171100000X

Practice address

77 Partridge St
West Roxbury, MA 02132-3616

Phone

(269) 779-4993

NPI assigned

Apr 6, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• PK Acupuncture LLC

  • Acupuncturist
  • Natick, MA
  • NPI 1134876816
  NPD Authorized official
• PK Health and Wellness LLC

  • Chiropractor
  • Natick, MA
  • NPI 1902548787

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522972800000",
    "number": "1730686791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 PARTRIDGE ST",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021323616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 PARTRIDGE ST",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021323616",
            "telephone_number": "269-779-4993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANJANAKUHA",
        "first_name": "PATCHAMOL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-06",
        "last_updated": "2018-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellenmarie Joyce, RN
• Nina G Kagan
• Ann D Kailath, MD
• Hannah Nyokabi Kamau, NP
• Yelena Kamenker-Orlov, M.D., PH.D.
• Larkin Kao
• Jason Perry Kaplan
• Suez Kariotis
• Joel B Karlinsky, M.D.
• Eleanor Beth Karp, PH.D.

• Acupuncturist in West Roxbury, MA
• Providers in West Roxbury, MA by specialty
• Acupuncturist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2018; 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.