FWC Acu LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

FWC ACU LLC

Practice address

2621 W Wackerly St Ste E
Midland, MI 48640-6994

Phone

(989) 496-7472

Fax

(989) 633-9130

NPI assigned

Feb 6, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Kenton WadsworthNPI 1427417856

Title

Member

Phone

(989) 496-7472

Specialties & licenses 1

Addresses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenton Wadsworth, DACM, LAC

  • Acupuncturist
  • Midland, MI
  • NPI 1427417856
  NPD Authorized official
• Shirley Ann Moore, M.S., R.AC.

  • Acupuncturist
  • Midland, MI
  • NPI 1700182037
  NPD (past)
• Courtney Wilson, MSTOM R.AC.

  • Acupuncturist
  • Midland, MI
  • NPI 1952774739
  NPD (past)

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

{
    "created_epoch": "1580947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654646400000",
    "number": "1902438047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 W WACKERLY ST STE E",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406994",
            "telephone_number": "989-496-7472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 W WACKERLY ST STE E",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406994",
            "telephone_number": "989-496-7472",
            "fax_number": "989-633-9130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 W Argyle St Ste 4",
            "address_purpose": "LOCATION",
            "city": "Sandusky",
            "state": "MI",
            "postal_code": "484711097",
            "country_code": "US",
            "telephone_number": "989-898-8179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FWC ACU LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-06",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A",
        "authorized_official_last_name": "WADSWORTH",
        "authorized_official_first_name": "KENTON",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "989-496-7472",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Mae Fritz
• Kylie Frontjes
• James H Frye, MD
• Brette Nicole Fryfogle, FNP-BC
• Faith D Fuentes, M.D.
• Kay L Gable, DDS
• Donnie Gaddis
• Adam Gaetz
• Juan Gagne
• Christopher Gagnon

• Acupuncturist in Midland, MI
• Providers in Midland, MI by specialty
• Acupuncturist in Michigan

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