Organization Active NPI

Integra Wellness Health. PC

  • Health Service Clinic/Center
  • Waltham, MA
National Provider Identifier
1730797226
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
INTEGRA WELLNESS HEALTH. PC
Practice address
1077 Lexington St Ste 203
Waltham, MA 02452-7233
Phone
(781) 642-7934
Fax
(781) 642-7824
NPI assigned
Jul 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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

Authorized official

Name
Mr. Jing Liu, ACUPUNCTURISTNPI 1982610168
Title
Owner
Phone
(781) 642-7934

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
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

1077 Lexington St Ste 203
Waltham, MA 02452-7233

Mailing address

1077 Lexington St Ste 203
Waltham, MA 02452-7233
Phone (781) 642-7934

National Provider Directory

National Provider Directory

Locations

1077 Lexington St
Ste 203
Waltham, MA 02452
Phone (617) 244-1477

Practitioners & affiliated clinicians

Practitioners 3

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": "1595289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595289600000",
    "number": "1730797226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1077 LEXINGTON ST STE 203",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024527233",
            "telephone_number": "781-642-7934",
            "fax_number": "781-643-7824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1077 LEXINGTON ST STE 203",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024527233",
            "telephone_number": "781-642-7934",
            "fax_number": "781-642-7824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRA WELLNESS HEALTH. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-21",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "JING",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-642-7934",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ACUPUNCTURIST"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waltham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.