Organization Active NPI

Tucson Integrative Acupuncture PLLC

  • Acupuncturist
  • Tucson, AZ
National Provider Identifier
1790662476
Registry record updated Aug 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
TUCSON INTEGRATIVE ACUPUNCTURE PLLC
Practice address
204 W Grant Rd Unit 110
Tucson, AZ 85705-5507
Phone
(520) 273-2588
Fax
(480) 436-5339
NPI assigned
Aug 16, 2025
Last updated
Aug 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2025

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

Authorized official

Name
Mr. Jerome Thomas Roberge Jr., LACNPI 1427417955
Title
Director
Phone
(520) 273-2588

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X NU Primary
Clinic/Center 261Q00000X NU

Addresses

Primary practice location

204 W Grant Rd Unit 110
Tucson, AZ 85705-5507

Mailing address

1414 W Calle Platino
Tucson, AZ 85745-2778
Phone (520) 273-2588

National Provider Directory

National Provider Directory

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": "1755302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755302400000",
    "number": "1790662476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 W CALLE PLATINO",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452778",
            "telephone_number": "520-273-2588",
            "fax_number": "480-436-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 W GRANT RD UNIT 110",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857055507",
            "telephone_number": "520-273-2588",
            "fax_number": "480-436-5339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUCSON INTEGRATIVE ACUPUNCTURE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-16",
        "last_updated": "2025-08-16",
        "certification_date": "2025-07-26",
        "status": "A",
        "authorized_official_last_name": "ROBERGE",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "520-273-2588",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2025; 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.