Organization Active NPI

Whole Body Holistic, LLC

  • Acupuncturist
  • Renton, WA
National Provider Identifier
1952074692
Registry record updated Jul 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
WHOLE BODY HOLISTIC, LLC
Practice address
451 SW 10TH St Ste Suite100
Renton, WA 98057-2981
Phone
(206) 330-8490
NPI assigned
Jul 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2021

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

Authorized official

Name
Dr. Dawn Flynn, ND, EAMPNPI 1407070113
Title
Owner
Phone
(206) 330-8490

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

451 SW 10TH St Ste Suite100
Renton, WA 98057-2981

Mailing address

451 SW 10TH St Ste 100
Renton, WA 98057-2981
Phone (206) 330-8490

Other identifiers 1

IdentifierTypeStateIssuer
1407070113OtherWANPI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627430400000",
    "number": "1952074692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 SW 10TH ST STE 100",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572981",
            "telephone_number": "206-330-8490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 SW 10TH ST STE SUITE100",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572981",
            "telephone_number": "206-330-8490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLE BODY HOLISTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-28",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A",
        "authorized_official_last_name": "FLYNN",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-330-8490",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND, EAMP"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1407070113",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.