NPIMap

Organization Active NPI

Pekoe Acupuncture and Wellness Center, PLLC

  • Acupuncturist
  • Washington, DC
National Provider Identifier
1831751676
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
PEKOE ACUPUNCTURE AND WELLNESS CENTER, PLLC
Practice address
1410 9TH St NW Ste 1
Washington, DC 20001-3361
Phone
(202) 408-4858
Fax
(202) 408-4857
NPI assigned
Jul 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2019

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

Authorized official

Name
Ms. Nicole Ingrid Mires, L.ACNPI 1316266752
Title
Owner, Acupuncturistt
Phone
(202) 408-4858

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
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X Primary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X

Addresses

Primary practice location

1410 9TH St NW Ste 1
Washington, DC 20001-3361

Mailing address

1410 9TH St NW Ste 1
Washington, DC 20001-3361
Phone (202) 408-4858

Other identifiers 1

IdentifierTypeStateIssuer
AD66OtherDCBLUECROSS BLUESHIELD

National Provider Directory

National Provider Directory

Locations

1410 9th St NW
Ste 1
Washington, DC 20001
Phone (202) 408-4858

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562025600000",
    "number": "1831751676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 9TH ST NW STE 1",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200013361",
            "telephone_number": "202-408-4858",
            "fax_number": "202-408-4857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 9TH ST NW STE 1",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200013361",
            "telephone_number": "202-408-4858",
            "fax_number": "202-408-4857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEKOE ACUPUNCTURE AND WELLNESS CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-02",
        "last_updated": "2019-07-02",
        "status": "A",
        "authorized_official_last_name": "MIRES",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "INGRID",
        "authorized_official_title_or_position": "OWNER, ACUPUNCTURISTT",
        "authorized_official_telephone_number": "202-408-4858",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "AD66",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; 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.