Active NPI
Modern Ancients Dba Verde Valley Acupuncture
- Acupuncturist
- Cottonwood, AZ
National Provider Identifier
1750747028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AZ0515
- Legal business name
- MODERN ANCIENTS DBA VERDE VALLEY ACUPUNCTURE
- Doing business as
- Verde Valley Acupuncture LLC.
- Practice address
- 719 N 5TH St
Cottonwood, AZ 86326-3708 - Phone
- (928) 639-3700
- Fax
- (928) 304-7171
- NPI assigned
- Jan 2, 2016
- Organization subpart
- Yes
- Parent organization
- MODERN ANCIENTS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Jeanette Elaine Campbell, L.AC
- Title
- Owner,Member,Practicioner
- Phone
- (928) 639-3700
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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AZ0515 | AZ | Primary |
Addresses
Primary practice location
719 N 5TH St
Cottonwood, AZ 86326-3708
Mailing address
719 N 5TH St
Cottonwood, AZ 86326-3708
Phone (928) 639-3700
Other names 1
- Verde Valley Acupuncture LLC.
National Provider Directory
National Provider Directory- Part of
- Modern Ancients Dba Verde Valley Acupuncture
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Acupuncturist
- Cottonwood, AZ
- NPI 1811025752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451692800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1451692800000",
"number": "1750747028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "719 N 5TH ST",
"city": "COTTONWOOD",
"state": "AZ",
"postal_code": "863263708",
"telephone_number": "928-639-3700",
"fax_number": "928-304-7171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "719 N 5TH ST",
"city": "COTTONWOOD",
"state": "AZ",
"postal_code": "863263708",
"telephone_number": "928-639-3700",
"fax_number": "928-304-7171"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MODERN ANCIENTS DBA VERDE VALLEY ACUPUNCTURE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MODERN ANCIENTS",
"enumeration_date": "2016-01-02",
"last_updated": "2016-01-02",
"status": "A",
"authorized_official_last_name": "CAMPBELL",
"authorized_official_first_name": "JEANETTE",
"authorized_official_middle_name": "ELAINE",
"authorized_official_title_or_position": "OWNER,MEMBER,PRACTICIONER",
"authorized_official_telephone_number": "928-639-3700",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "L.AC"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "AZ",
"license": "AZ0515",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Verde Valley Acupuncture LLC.",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Cottonwood, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.