Eastside Gentle Acupuncture LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

EASTSIDE GENTLE ACUPUNCTURE LLC

Practice address

1427 228TH St SE Ste D1
Bothell, WA 98021-7407

Phone

(425) 835-6299

NPI assigned

Jul 10, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Rokhsareh Mohammadi, ACUPUNCTURISTNPI 1508245994

Title

President of the Company

Phone

(425) 638-9098

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rokhsareh Mohammadi, LAC

  • Acupuncturist
  • Bothell, WA
  • NPI 1508245994
  NPD Authorized official

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

{
    "created_epoch": "1594339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594339200000",
    "number": "1821616384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14120 NE 183RD ST # 1-410",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980727070",
            "telephone_number": "425-638-9098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1427 228TH ST SE STE D1",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980217407",
            "telephone_number": "425-835-6299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTSIDE GENTLE ACUPUNCTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-10",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A",
        "authorized_official_last_name": "MOHAMMADI",
        "authorized_official_first_name": "ROKHSAREH",
        "authorized_official_title_or_position": "PRESIDENT OF THE COMPANY",
        "authorized_official_telephone_number": "425-638-9098",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ACUPUNCTURIST"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Bothell, WA
• Providers in Bothell, WA by specialty
• Acupuncturist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2020; 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.