Organization Active NPI

Sundance Traditional Chinese Medicine

  • Acupuncturist
  • New York, NY
National Provider Identifier
1790287001
Registry record updated Mar 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
002285 Issued in NY
Legal business name
SUNDANCE TRADITIONAL CHINESE MEDICINE
Practice address
291 Broadway RM 806
New York, NY 10007-1912
Phone
(646) 269-2615
NPI assigned
Mar 2, 2018
Last updated
Mar 2, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2018

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

Authorized official

Name
Dr. Maureen Larkin, DACM, LACNPI 1508221748
Title
Owner
Phone
(646) 269-2615

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 002285 NY Primary

Addresses

Primary practice location

291 Broadway RM 806
New York, NY 10007-1912

Mailing address

5 Tudor City PL Apt 2031
New York, NY 10017-9350
Phone (646) 752-5421

National Provider Directory

National Provider Directory

Locations

291 Broadway
Rm 806
New York, NY 10007
Phone (646) 269-2615

Practitioners & affiliated clinicians

Practitioners 1

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": "1519948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519948800000",
    "number": "1790287001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 TUDOR CITY PL APT 2031",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100179350",
            "telephone_number": "646-752-5421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 BROADWAY RM 806",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100071912",
            "telephone_number": "646-269-2615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNDANCE TRADITIONAL CHINESE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-02",
        "last_updated": "2018-03-02",
        "status": "A",
        "authorized_official_last_name": "LARKIN",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-269-2615",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DACM, LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "002285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.