NPIMap

Organization Active NPI

Red Dragon Acupuncture LLC

  • Acupuncturist
  • Mount Pleasant, WI
National Provider Identifier
1831535657
Registry record updated May 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
732-055 Issued in WI
Legal business name
RED DRAGON ACUPUNCTURE LLC
Practice address
5605 Washington Ave
Ste 8F
Mount Pleasant, WI 53406-4056
Phone
(262) 822-4844
NPI assigned
May 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2013

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

Authorized official

Name
Mr. Keith W. Garofalo, L.AC.
Title
Owner
Phone
(262) 822-4844

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X 732-055 WI Primary

Addresses

Primary practice location

5605 Washington Ave
Ste 8F
Mount Pleasant, WI 53406-4056

Mailing address

5605 Washington Ave
Ste 8F
Mount Pleasant, WI 53406-4056
Phone (262) 822-4844

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1369008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369008000000",
    "number": "1831535657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5605 WASHINGTON AVE",
            "address_2": "STE 8F",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534064056",
            "telephone_number": "262-822-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5605 WASHINGTON AVE",
            "address_2": "STE 8F",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534064056",
            "telephone_number": "262-822-4844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED DRAGON ACUPUNCTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-20",
        "last_updated": "2013-05-20",
        "status": "A",
        "authorized_official_last_name": "GAROFALO",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-822-4844",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "WI",
            "license": "732-055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; 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.