Green Dragon Acupuncture, Inc

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

GREEN DRAGON ACUPUNCTURE, INC

Practice address

12203 Aberdeen St NE
Suite 120
Blaine, MN 55449-5174

Phone

(612) 414-3250

NPI assigned

Jul 30, 2009

Organization subpart

No

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

Authorized official

Name

Kimberly Fritz, M.OM., L.AC.

Title

President/Owner

Phone

(612) 414-3250

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1248912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248912000000",
    "number": "1912138561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 125TH LN NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554494957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12203 ABERDEEN ST NE",
            "address_2": "SUITE 120",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554495174",
            "telephone_number": "612-414-3250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN DRAGON ACUPUNCTURE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-30",
        "last_updated": "2009-07-30",
        "status": "A",
        "authorized_official_last_name": "FRITZ",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "612-414-3250",
        "authorized_official_credential": "M.OM., L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.