Individual provider Active NPI

Joseph C Wollen, LAC

  • Acupuncturist
  • Brighton, CO
National Provider Identifier
1801118633
Registry record updated Feb 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
1517 Issued in CO
Practice address
606 S 4TH Ave
Brighton, CO 80601-3202
Phone
(720) 234-0967
NPI assigned
Feb 21, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 1517 CO Primary

Addresses

Primary practice location

606 S 4TH Ave
Brighton, CO 80601-3202

Mailing address

606 S 4TH Ave
Brighton, CO 80601-3202
Phone (720) 234-0967

Other names 1

  • Joe C Wollen Other name

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
1517COMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1266710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266710400000",
    "number": "1801118633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 S 4TH AVE",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806013202",
            "telephone_number": "720-234-0967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 S 4TH AVE",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806013202",
            "telephone_number": "720-234-0967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLLEN",
        "first_name": "JOSEPH",
        "middle_name": "C",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-21",
        "last_updated": "2010-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "1517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOE",
            "last_name": "WOLLEN",
            "middle_name": "C",
            "credential": "LAC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brighton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2010; 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.