Organization Active NPI

Foxglove Acupuncture LLC

  • Acupuncturist
  • Seattle, WA
National Provider Identifier
1851868608
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
FOXGLOVE ACUPUNCTURE LLC
Practice address
5401 Leary Ave NW Ste 203
Seattle, WA 98107-4070
Phone
(206) 582-3471
Fax
(206) 582-3472
NPI assigned
Oct 30, 2018
Organization subpart
Yes
Parent organization
ROOT OF MEDICINE PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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

Authorized official

Name
Khairul A Bhagwandin, LAC, EAMP, LMT
Title
Acupuncturist
Phone
(206) 582-3471

Specialties & licenses 1

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

Addresses

Primary practice location

5401 Leary Ave NW Ste 203
Seattle, WA 98107-4070

Mailing address

5401 Leary Ave NW Ste 203
Seattle, WA 98107-4070
Phone (206) 582-3471

Other names 1

  • Rebel Med NW Doing business as

National Provider Directory

National Provider Directory

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1540857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644278400000",
    "number": "1851868608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 LEARY AVE NW STE 203",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981074070",
            "telephone_number": "206-582-3471",
            "fax_number": "206-582-3472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 LEARY AVE NW STE 203",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981074070",
            "telephone_number": "206-582-3471",
            "fax_number": "206-582-3472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOXGLOVE ACUPUNCTURE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROOT OF MEDICINE PLLC",
        "enumeration_date": "2018-10-30",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A",
        "authorized_official_last_name": "BHAGWANDIN",
        "authorized_official_first_name": "KHAIRUL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "206-582-3471",
        "authorized_official_credential": "LAC, EAMP, LMT"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rebel Med NW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; 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.