NPIMap

Organization Active NPI

Wellnest Acupuncture Holistic Medicine LLC

  • Acupuncturist
  • Denver, CO
National Provider Identifier
1760087068
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
WELLNEST ACUPUNCTURE HOLISTIC MEDICINE LLC
Practice address
1221 S Clarkson St Ste 203
Denver, CO 80210-1627
Phone
(720) 618-0770
NPI assigned
Dec 3, 2020
Last updated
Dec 3, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Authorized official

Name
Garryn Skurulsky, L.AC.NPI 1851759609
Title
Owner/Acupuncturist
Phone
(720) 618-0770

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
Acupuncturist 171100000X Primary

Addresses

Primary practice location

1221 S Clarkson St Ste 203
Denver, CO 80210-1627

Mailing address

6149 S Newark Way
Englewood, CO 80111-5851
Phone (720) 618-0770

Other identifiers 1

IdentifierTypeStateIssuer
1851759609OtherCOCOMMERICIAL

Electronic endpoints 3

TypeEndpointUseAffiliation
CONNECT URL email Direct
CONNECT URL 12/20/9999
CONNECT URL 12/20/9999

National Provider Directory

National Provider Directory

Locations

1221 S Clarkson St
Ste 203
Denver, CO 80210
Phone (720) 618-0770

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606953600000",
    "number": "1760087068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6149 S NEWARK WAY",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801115851",
            "telephone_number": "720-618-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 S CLARKSON ST STE 203",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802101627",
            "telephone_number": "720-618-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNEST ACUPUNCTURE HOLISTIC MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-03",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-02",
        "status": "A",
        "authorized_official_last_name": "SKURULSKY",
        "authorized_official_first_name": "GARRYN",
        "authorized_official_title_or_position": "OWNER/ACUPUNCTURIST",
        "authorized_official_telephone_number": "720-618-0770",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERICIAL",
            "identifier": "1851759609",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "email",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1221 S Clarkson St Ste 203",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802101627",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "12/20/9999",
            "affiliation": "N",
            "address_1": "1221 S Clarkson St Ste 203",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802101627",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "12/20/9999",
            "affiliation": "N",
            "address_1": "1221 S Clarkson St Ste 203",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802101627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.