NPIMap

Organization Active NPI

Evergreen Bio-Tech Inc

  • Acupuncturist
  • Tucson, AZ
National Provider Identifier
1851574487
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
0448 Issued in AZ
Legal business name
EVERGREEN BIO-TECH INC
Practice address
5501 N Oracle Rd
Suite 145
Tucson, AZ 85704-3829
Phone
(520) 889-9366
Fax
(480) 357-4639
NPI assigned
Dec 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2007

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

Authorized official

Name
Teng Fang Wu, DOCTOR ORIENTAL MEDNPI 1033392675
Title
Provider
Phone
(480) 357-3904

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 0448 AZ Primary

Addresses

Primary practice location

5501 N Oracle Rd
Suite 145
Tucson, AZ 85704-3829

Mailing address

9221 E Baseline Rd
Suite A109-617
Mesa, AZ 85209-8310
Phone (480) 357-3904

National Provider Directory

National Provider Directory

Locations

5501 N Oracle Rd
Ste 145
Tucson, AZ 85704
Phone (520) 889-9366

Practitioners & affiliated clinicians

Practitioners 1

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": "1196812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1851574487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9221 E BASELINE RD",
            "address_2": "SUITE A109-617",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852098310",
            "telephone_number": "480-357-3904",
            "fax_number": "480-357-4639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 N ORACLE RD",
            "address_2": "SUITE 145",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857043829",
            "telephone_number": "520-889-9366",
            "fax_number": "480-357-4639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN BIO-TECH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-05",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "TENG FANG",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "480-357-3904",
        "authorized_official_credential": "DOCTOR ORIENTAL MED"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "AZ",
            "license": "0448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; 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.