Organization Active NPI

The Clinic of Acupuncture

  • Acupuncturist
  • Maple Grove, MN
National Provider Identifier
1871822510
Registry record updated Dec 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
THE CLINIC OF ACUPUNCTURE
Practice address
10302 108TH Ave N
Maple Grove, MN 55369-2634
Phone
(612) 229-0322
Fax
(763) 425-3549
NPI assigned
Dec 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2009

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

Authorized official

Name
Jill Suzanne Neukam
Title
Owner
Phone
(612) 229-0322

Specialties & licenses 1

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

Addresses

Primary practice location

10302 108TH Ave N
Maple Grove, MN 55369-2634

Mailing address

10302 108TH Ave N
Maple Grove, MN 55369-2634
Phone (612) 229-0322

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1260316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260316800000",
    "number": "1871822510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10302 108TH AVE N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553692634",
            "telephone_number": "612-229-0322",
            "fax_number": "763-425-3549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10302 108TH AVE N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553692634",
            "telephone_number": "612-229-0322",
            "fax_number": "763-425-3549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CLINIC OF ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-09",
        "last_updated": "2009-12-09",
        "status": "A",
        "authorized_official_last_name": "NEUKAM",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "SUZANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-229-0322"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Grove, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2009; 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.