Organization Active NPI

Ackerman Acupuncture LLC

  • Health Service Clinic/Center
  • Blaine, MN
National Provider Identifier
1760955017
Registry record updated Jan 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
ACKERMAN ACUPUNCTURE LLC
Practice address
2331 108TH LN NE Ste 140
Blaine, MN 55449-5271
Phone
(763) 477-1338
NPI assigned
Jan 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2019

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

Authorized official

Name
Michael Ackerman
Title
Owner
Phone
(763) 477-1338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

2331 108TH LN NE Ste 140
Blaine, MN 55449-5271

Mailing address

2331 108TH LN NE Ste 140
Blaine, MN 55449-5271
Phone (763) 477-1338

National Provider Directory

National Provider Directory

Locations

2331 108th Ln NE
Ste 140
Blaine, MN 55449
Phone (763) 477-1338

NPI Registry JSON

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

{
    "created_epoch": "1546992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546992000000",
    "number": "1760955017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2331 108TH LN NE STE 140",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554495271",
            "telephone_number": "763-477-1338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2331 108TH LN NE STE 140",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554495271",
            "telephone_number": "763-477-1338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACKERMAN ACUPUNCTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-09",
        "last_updated": "2019-01-09",
        "status": "A",
        "authorized_official_last_name": "ACKERMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-477-1338"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blaine, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; 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.