Organization Active NPI

Liberte Acupuncture, P.C.

  • Health Service Clinic/Center
  • Washington, DC
National Provider Identifier
1912201617
Registry record updated Feb 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
AC500151 Issued in DC
Legal business name
LIBERTE ACUPUNCTURE, P.C.
Practice address
1221 Connecticut Ave NW Ste 5B
Washington, DC 20036-2607
Phone
(202) 300-8428
NPI assigned
Jan 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2013

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

Authorized official

Name
Mr. Joselo Gutierrez, LACNPI 1427649094
Title
Acupuncturist/President
Phone
(202) 300-8428

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 004047 NY
Health Service Clinic/Center 261QH0100X AC500151 DC Primary

Addresses

Primary practice location

1221 Connecticut Ave NW Ste 5B
Washington, DC 20036-2607

Mailing address

1221 Connecticut Ave NW Ste 5B
Washington, DC 20036-2607
Phone (202) 300-8428

Other names 1

  • City Acupuncture Circle Doing business as

National Provider Directory

National Provider Directory

Locations

1221 Connecticut Ave NW
Ste 5B
Washington, DC 20036
Phone (202) 300-8428

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360886400000",
    "number": "1912201617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 CONNECTICUT AVE NW STE 5B",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200362607",
            "telephone_number": "202-300-8428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 CONNECTICUT AVE NW STE 5B",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200362607",
            "telephone_number": "202-300-8428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTE ACUPUNCTURE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-10",
        "last_updated": "2013-02-15",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "JOSELO",
        "authorized_official_title_or_position": "ACUPUNCTURIST/PRESIDENT",
        "authorized_official_telephone_number": "202-300-8428",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NY",
            "license": "004047",
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "DC",
            "license": "AC500151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City Acupuncture Circle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2013; 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.