Moon Tides Acupuncture, Inc.

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

MOON TIDES ACUPUNCTURE, INC.

Practice address

516 Princess St
Wilmington, NC 28401-4131

Phone

(910) 367-5747

NPI assigned

Feb 6, 2023

Organization subpart

No

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

Authorized official

Name

Kyler York, LAC, MSTOMNPI 1629527874

Title

Owner

Phone

(910) 274-6711

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Kyler York, L.AC.

  • Acupuncturist
  • Wilmington, NC
  • NPI 1629527874
  NPD Authorized official

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675641600000",
    "number": "1841996436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S 5TH AVE UNIT D",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284015187",
            "telephone_number": "910-274-6711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 PRINCESS ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284014131",
            "telephone_number": "910-367-5747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOON TIDES ACUPUNCTURE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-04",
        "status": "A",
        "authorized_official_last_name": "YORK",
        "authorized_official_first_name": "KYLER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-274-6711",
        "authorized_official_credential": "LAC, MSTOM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1629527874",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sydney A Montierth
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• Jean M Montjoy, MSW, LCSW
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• Christopher Moody, FNP-C
• Greg Timothy Moon, PTA
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• Moore Orthopaedics, P.a.
• Barry Allen Moore, MD
• Bryanna Moore

• Acupuncturist in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Acupuncturist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.