Individual provider Active NPI

Anees Farooq, LA.C

  • Acupuncturist
  • Tempe, AZ
National Provider Identifier
1750038162
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
LAC-011985 Issued in AZ
Practice address
2520 E University Dr Ste 102
Tempe, AZ 85288-3143
Phone
(480) 757-0985
NPI assigned
Mar 5, 2022
Last updated
Jul 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X U02842 MD
Acupuncturist 171100000X LAC-011985 AZ Primary

Addresses

Primary practice location

2520 E University Dr Ste 102
Tempe, AZ 85288-3143

Mailing address

7000 N 16TH St Ste 120-327
Phoenix, AZ 85020-5512
Phone (480) 757-0985

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Clients@Balancedwellness247.com Direct
Direct Messaging Address clients@balancedwellness247.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LAC-011985AZMDAcupuncturist
U02842MDMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1646438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1750038162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 N 16TH ST STE 120-327",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850205512",
            "telephone_number": "480-757-0985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 E UNIVERSITY DR STE 102",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852883143",
            "telephone_number": "480-757-0985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAROOQ",
        "first_name": "ANEES",
        "credential": "LA.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-05",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U02842",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "AZ",
            "license": "LAC-011985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Clients@Balancedwellness247.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7000 N 16th St Ste 120",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850205524",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "clients@balancedwellness247.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "2520 E University Dr Ste 102",
            "city": "Tempe",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852883143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.