Kwao Gareth Ahelegbe, L.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Practice address

6311 Wayzata Blvd Ste 240
St Louis Park, MN 55416-2683

Phone

(952) 545-6408

NPI assigned

Jun 22, 2017

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• RB Acupuncture LLC

  • Acupuncturist
  • Eugene, OR
  • NPI 1063859924
  NPD (past)

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1912427782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 COTTAGE AVE W APT 312",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551174388",
            "telephone_number": "612-248-4670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6311 WAYZATA BLVD STE 240",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554162683",
            "telephone_number": "952-545-6408"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 MN-7",
            "address_purpose": "LOCATION",
            "city": "Hutchinson",
            "state": "MN",
            "postal_code": "55350",
            "country_code": "US",
            "telephone_number": "612-759-2884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHELEGBE",
        "first_name": "KWAO",
        "middle_name": "GARETH",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-22",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Michael Aeshliman, COTA
• Muhammad Affan
• Afiya Spiritual Life Center, LLC
• Damilola Jakub Agboluaje, MBBS
• Rachel L Agneberg, DO
• Hadith Yusuf Ahmed
• Sagal Abdiaziz Ahmed
• Seefen Ahmed
• Michael B Ainslie, M.D.
• Michael T Akin, M.D.

• Acupuncturist in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• Acupuncturist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.