Advanced Acupuncture & Pain Management Clinic

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

1626 Issued in MN

Legal business name

ADVANCED ACUPUNCTURE & PAIN MANAGEMENT CLINIC

Practice address

2129 2ND St
White Bear Lake, MN 55110-3458

Phone

(612) 547-9301

NPI assigned

Feb 26, 2015

Last updated

Feb 26, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Edward Simmons, L.AC.

Title

Owner, L.Ac.

Phone

(763) 213-9936

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1424908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424908800000",
    "number": "1740672864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2129 2ND ST",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551103458",
            "telephone_number": "612-547-9301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2129 2ND ST",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551103458",
            "telephone_number": "612-547-9301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED ACUPUNCTURE & PAIN MANAGEMENT CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-26",
        "last_updated": "2015-02-26",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER, L.AC.",
        "authorized_official_telephone_number": "763-213-9936",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MN",
            "license": "1626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abdifatah Hassan Abdi
• Eliza Anderson Abraham, PA-C
• Allison Mari Ackerknecht
• Evelyn Jessie Acosta, RN, PHN
• Acupuncture Queen, LLC
• Advanced Dermatology Care Medical Cosmetic and Surgery PA (Advanced Dermatology Care)
• Aegis Group Practice LLC
• Agape Hospice Inc.
• Lucas Paul Ahlquist
• Alberg & Associates, PA

• Acupuncturist in White Bear Lake, MN
• Providers in White Bear Lake, MN by specialty
• Acupuncturist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.