NPIMap

Organization Active NPI

Ambulant Acupuncture LLC

Doing business as Ambulant Acupuncture

  • Acupuncturist
  • Bozeman, MT
National Provider Identifier
1891314944
Registry record updated Apr 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
AMBULANT ACUPUNCTURE LLC
Doing business as
Ambulant Acupuncture
Practice address
300 N Willson Ave Ste 602F-2
Bozeman, MT 59715-3551
Phone
(907) 255-8413
Fax
(406) 720-7899
NPI assigned
Apr 9, 2020
Last updated
Apr 9, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
AMBULANT ACUPUNCTURE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 9, 2020

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

Authorized official

Name
Marcus Fuller, MACOM LAC LMTNPI 1780157040
Title
Owner
Phone
(907) 255-8413

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 MULTIPLE SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

300 N Willson Ave Ste 602F-2
Bozeman, MT 59715-3551

Mailing address

300 N Willson Ave Ste 602F-2
Bozeman, MT 59715-3551
Phone (907) 255-8413

Other names 1

  • Ambulant Acupuncture Doing business as

National Provider Directory

National Provider Directory
Part of
Ambulant Acupuncture LLC

Locations

300 N Willson Ave
Ste 602F-2
Bozeman, MT 59715
Phone (907) 255-8413

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": "1586390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586390400000",
    "number": "1891314944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N WILLSON AVE STE 602F-2",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153551",
            "telephone_number": "907-255-8413",
            "fax_number": "406-720-7899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N WILLSON AVE STE 602F-2",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153551",
            "telephone_number": "907-255-8413",
            "fax_number": "406-720-7899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBULANT ACUPUNCTURE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMBULANT ACUPUNCTURE LLC",
        "enumeration_date": "2020-04-09",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-255-8413",
        "authorized_official_credential": "MACOM LAC LMT"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ambulant Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bozeman, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2020; 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.