Metro Detroit Acupuncture, PLLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

METRO DETROIT ACUPUNCTURE, PLLC

Doing business as

Metro Detroit Acupuncture

Practice address

7115 Orchard Lake Rd Ste 410
West Bloomfield, MI 48322-3655

Phone

(248) 432-2846

Fax

(248) 757-2172

NPI assigned

Aug 12, 2021

Organization subpart

No

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

Authorized official

Name

Marinos Moutafis, LAC.

Title

Acupuncturist

Phone

(248) 432-2846

Specialties & licenses 1

Addresses

Other names 1

• Metro Detroit Acupuncture Doing business as

Practitioners 1

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

• Marino Moutafis, REG. AC.

  • Acupuncturist
  • West Bloomfield, MI
  • NPI 1366867624
  NPD

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

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628726400000",
    "number": "1922773852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7115 ORCHARD LAKE RD STE 410",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223655",
            "telephone_number": "248-432-2846",
            "fax_number": "248-757-2172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7115 ORCHARD LAKE RD STE 410",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223655",
            "telephone_number": "248-432-2846",
            "fax_number": "248-757-2172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO DETROIT ACUPUNCTURE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-12",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A",
        "authorized_official_last_name": "MOUTAFIS",
        "authorized_official_first_name": "MARINOS",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "248-432-2846",
        "authorized_official_credential": "LAC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metro Detroit Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Acupuncturist in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Acupuncturist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; 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.