Organization Active NPI

Rehabilitative Acupuncture LLC.

  • Acupuncturist
  • Denver, CO
National Provider Identifier
1881084689
Registry record updated Jan 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
0002069 Issued in CO
Legal business name
REHABILITATIVE ACUPUNCTURE LLC.
Practice address
3212 Tejon St
Denver, CO 80211-3431
Phone
(805) 252-6252
NPI assigned
Jan 31, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2015

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

Authorized official

Name
Derrick Robert McBride, L.AC.NPI 1992190300
Title
Licensed Acupuncturist
Phone
(805) 252-6252

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 0002069 CO Primary

Addresses

Primary practice location

3212 Tejon St
Denver, CO 80211-3431

Mailing address

2685 S Dayton Way Apt 252
Denver, CO 80231-3955
Phone (805) 252-6252

National Provider Directory

National Provider Directory

Locations

3212 Tejon St
Denver, CO 80211
Phone (303) 953-5169

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1422662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422662400000",
    "number": "1881084689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2685 S DAYTON WAY APT 252",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802313955",
            "telephone_number": "805-252-6252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3212 TEJON ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802113431",
            "telephone_number": "805-252-6252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABILITATIVE ACUPUNCTURE LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-31",
        "last_updated": "2015-01-31",
        "status": "A",
        "authorized_official_last_name": "MCBRIDE",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "LICENSED ACUPUNCTURIST",
        "authorized_official_telephone_number": "805-252-6252",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "0002069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2015; 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.