Kenkodo Acupuncture and Massage LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

KENKODO ACUPUNCTURE AND MASSAGE LLC

Practice address

735 Broadway
Somerville, MA 02144-2110

Phone

(617) 957-8141

NPI assigned

May 3, 2022

Organization subpart

No

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

Authorized official

Name

Lori Jean Pino, LACNPI 1265714612

Title

Owner

Phone

(617) 957-8141

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lori Jean Pino

  • Acupuncturist
  • Somerville, MA
  • NPI 1265714612
  NPD Authorized official

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

{
    "created_epoch": "1651536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651536000000",
    "number": "1760127872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 BROADWAY",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021442110",
            "telephone_number": "617-957-8141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 BROADWAY",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021442110",
            "telephone_number": "617-957-8141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENKODO ACUPUNCTURE AND MASSAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-03",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A",
        "authorized_official_last_name": "PINO",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-957-8141",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@kenkodoclinic.com",
            "affiliation": "N",
            "address_1": "735 Broadway",
            "city": "Somerville",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021442110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Maura Kelly, LMHC
• Regina Kelly, LICSW
• Kathleen A. Kelts, MA, LCSW
• Kafui Kemeh
• John Parker Keniston
• Cynthia Anne Kennedy, LCSW
• Erin Shea Kernan
• Ariadni Kertsikof
• Kavita Davina Ketwaroo, M.D.
• Sarah Keyes, LICSW, LCSW

• Clinic/Center in Somerville, MA
• Providers in Somerville, MA by specialty
• Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; 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.