Active NPI
Grant Sagum, L.AC.
- Acupuncturist
- Centennial, CO
National Provider Identifier
1760836308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- ACU.0002187
- Practice address
- 6059 S Quebec St
Suite 103
Centennial, CO 80111-4514 - Phone
- (303) 773-1166
- NPI assigned
- Apr 20, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | ACU.0002187 | CO | Primary |
| Acupuncturist | 171100000X | 867-55 | WI |
Addresses
Primary practice location
6059 S Quebec St
Suite 103
Centennial, CO 80111-4514
Mailing address
6059 S Quebec St
Suite 103
Centennial, CO 80111-4514
Phone (303) 773-1166
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
| License | State | Type | Specialty |
|---|---|---|---|
| ACU.0002187 | CO | MD | Acupuncturist |
| 867-55 | WI | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461110400000",
"number": "1760836308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6059 S QUEBEC ST",
"address_2": "SUITE 103",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801114514",
"telephone_number": "303-773-1166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6059 S QUEBEC ST",
"address_2": "SUITE 103",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801114514",
"telephone_number": "303-773-1166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAGUM",
"first_name": "GRANT",
"credential": "L.AC.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-20",
"last_updated": "2016-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CO",
"license": "ACU.0002187",
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "WI",
"license": "867-55",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Centennial, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.