The Chinese Medicine Clinic, LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

1722 Issued in CO

Legal business name

THE CHINESE MEDICINE CLINIC, LLC

Practice address

385 Main St
Suite D
Longmont, CO 80501

Phone

(303) 834-9188

Fax

(303) 834-9552

NPI assigned

Sep 7, 2012

Last updated

Sep 7, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey Peacock, L.ACNPI 1245514629

Title

Owner/Acupuncture Herbalist

Phone

(303) 834-9188

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey Peacock, L.AC

  • Acupuncturist
  • Longmont, CO
  • NPI 1245514629
  Authorized official Same address or phone

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

{
    "created_epoch": "1346976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346976000000",
    "number": "1932458775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 MAIN ST",
            "address_2": "SUITE D",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "80501",
            "telephone_number": "303-834-9188",
            "fax_number": "303-834-9552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 MAIN ST",
            "address_2": "SUITE D",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "80501",
            "telephone_number": "303-834-9188",
            "fax_number": "303-834-9552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHINESE MEDICINE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-07",
        "last_updated": "2012-09-07",
        "status": "A",
        "authorized_official_last_name": "PEACOCK",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER/ACUPUNCTURE HERBALIST",
        "authorized_official_telephone_number": "303-834-9188",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "1722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Longmont, CO by specialty
• Acupuncturist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; 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.