Organization Active NPI

Earthen Acupuncture LLC

  • Acupuncturist
  • Golden, CO
National Provider Identifier
1770084295
Registry record updated Feb 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
ACU.0002335 Issued in CO
Legal business name
EARTHEN ACUPUNCTURE LLC
Practice address
720 14TH St
Golden, CO 80401-1907
Phone
(720) 593-9758
NPI assigned
Feb 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2018

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

Authorized official

Name
Sarah Lewis Stack, L.AC.NPI 1013419688
Title
Owner
Phone
(720) 593-9758

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
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X ACU.0002335 CO Primary

Addresses

Primary practice location

720 14TH St
Golden, CO 80401-1907

Mailing address

1014 12TH St
Golden, CO 80401-0714
Phone (720) 593-9758

National Provider Directory

National Provider Directory

Locations

720 14th St
Golden, CO 80401
Phone (720) 593-9758

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1519171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519171200000",
    "number": "1770084295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 12TH ST",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804010714",
            "telephone_number": "720-593-9758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 14TH ST",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804011907",
            "telephone_number": "720-593-9758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARTHEN ACUPUNCTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-21",
        "last_updated": "2018-02-21",
        "status": "A",
        "authorized_official_last_name": "STACK",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-593-9758",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "ACU.0002335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2018; 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.