NPIMap

Organization Active NPI

Wintzer Acupuncture LLC

  • Acupuncturist
  • Camas, WA
National Provider Identifier
1770855777
Registry record updated Jun 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC60055845 Issued in WA
Legal business name
WINTZER ACUPUNCTURE LLC
Practice address
430 NE Cedar St
Camas, WA 98607-2144
Phone
(360) 851-4268
Fax
(844) 244-8288
NPI assigned
Feb 7, 2012
Last updated
Jun 15, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2015

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

Authorized official

Name
Diane Susan Wintzer, EAMPNPI 1104062074
Title
East Asian Medicine Practitioner
Phone
(360) 851-4268

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 AC60055845 WA Primary

Addresses

Primary practice location

430 NE Cedar St
Camas, WA 98607-2144

Mailing address

430 NE Cedar St
Camas, WA 98607-2144
Phone (360) 851-4268

National Provider Directory

National Provider Directory

Locations

430 NE Cedar St
Camas, WA 98607
Phone (360) 851-4268

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1328572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434326400000",
    "number": "1770855777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 NE CEDAR ST",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986072144",
            "telephone_number": "360-851-4268",
            "fax_number": "844-244-8288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 NE CEDAR ST",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986072144",
            "telephone_number": "360-851-4268",
            "fax_number": "844-244-8288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINTZER ACUPUNCTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-07",
        "last_updated": "2015-06-15",
        "status": "A",
        "authorized_official_last_name": "WINTZER",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "SUSAN",
        "authorized_official_title_or_position": "EAST ASIAN MEDICINE PRACTITIONER",
        "authorized_official_telephone_number": "360-851-4268",
        "authorized_official_credential": "EAMP"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC60055845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camas, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2015; 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.