Individual provider Active NPI

Marcia Mae Swanson, L.AC.

  • Acupuncturist
  • Wayzata, MN
National Provider Identifier
1770853053
Registry record updated Jan 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
1575 Issued in MN
Practice address
18281 Minnetonka Blvd Ste D
Wayzata, MN 55391-4146
Phone
(952) 475-0079
NPI assigned
Jan 4, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 1575 MN Primary

Addresses

Primary practice location

18281 Minnetonka Blvd Ste D
Wayzata, MN 55391-4146

Mailing address

18281 Minnetonka Blvd Ste D
Wayzata, MN 55391-4146
Phone (952) 475-0079

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

LicenseStateTypeSpecialty
1575MNMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Sarah a. Bittell D.C. P. a. Past Accepting new patients
Deephaven Chiropractic, P.a. PastSince Jun 4, 2000 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1325635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325635200000",
    "number": "1770853053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18281 MINNETONKA BLVD STE D",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553914146",
            "telephone_number": "952-475-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18281 MINNETONKA BLVD STE D",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553914146",
            "telephone_number": "952-475-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "MARCIA",
        "middle_name": "MAE",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-04",
        "last_updated": "2012-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MN",
            "license": "1575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayzata, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; 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.