Active NPI
Integra Wellness Health. PC
- Health Service Clinic/Center
- Waltham, MA
National Provider Identifier
1730797226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jing Liu, ACUPUNCTURIST
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Acupuncturist
- Waltham, MA
- NPI 1982610168
-
- Acupuncturist
- Waltham, MA
- NPI 1386289783
-
- Acupuncturist
- Natick, MA
- NPI 1174134555
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.