Individual provider Active NPI

Volodar Roman Kuzyk, L.AC.

  • Acupuncturist
  • Sedona, AZ
National Provider Identifier
1881878049
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
MED-ACU-LIC-90462 Issued in MT
Practice address
2155 W St Rte 89a Ste 114
Sedona, AZ 86336-5445
Phone
(928) 239-9706
NPI assigned
Dec 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 13194521-1201 UT
Acupuncturist 171100000X AC-6518 CA
Acupuncturist 171100000X AC 6518 CA
Acupuncturist 171100000X MED-ACU-LIC-90462 MT Primary

Addresses

Primary practice location

2155 W St Rte 89a Ste 114
Sedona, AZ 86336-5445

Mailing address

2155 W St Rte 89a Ste 114
Sedona, AZ 86336-5445
Phone (928) 239-9706

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AC 6518CAMDAcupuncturist
AC-6518CAMDAcupuncturist
MED-ACU-LIC-90462MTMDAcupuncturist
13194521-1201UTMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Amazing Acupuncture & Asian Medicine, PLLC Acupuncturist CurrentSince Apr 6, 2023 Accepting new patients
Mooney & Shamsbod Chiropractic Past Accepting new patients

Locations

2155 W State Route 89A
Ste 114
Sedona, AZ 86336
Phone (480) 955-1515

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1881878049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 W ST RTE 89A STE 114",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863365445",
            "telephone_number": "928-239-9706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 W ST RTE 89A STE 114",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863365445",
            "telephone_number": "928-239-9706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUZYK",
        "first_name": "VOLODAR",
        "middle_name": "ROMAN",
        "name_prefix": "Mr.",
        "credential": "L.AC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-24",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "UT",
            "license": "13194521-1201",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC-6518",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 6518",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MT",
            "license": "MED-ACU-LIC-90462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sedona, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.