Dragonfly Wellness Inc.

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

DRAGONFLY WELLNESS INC.

Practice address

17000 Ventura Blvd Ste 102
Encino, CA 91316-4149

Phone

(818) 855-1955

Fax

(818) 855-1956

NPI assigned

Jul 8, 2019

Organization subpart

No

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

Authorized official

Name

Ms. Montana McGlynn, L.AC.

Title

Owner/Acupuncturist

Phone

(818) 855-1955

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562544000000",
    "number": "1962064204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15520 ROCKFIELD BLVD STE A200",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926186705",
            "telephone_number": "949-598-9999",
            "fax_number": "949-598-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17000 VENTURA BLVD STE 102",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913164149",
            "telephone_number": "818-855-1955",
            "fax_number": "818-855-1956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRAGONFLY WELLNESS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-08",
        "last_updated": "2019-07-08",
        "status": "A",
        "authorized_official_last_name": "MCGLYNN",
        "authorized_official_first_name": "MONTANA",
        "authorized_official_title_or_position": "OWNER/ACUPUNCTURIST",
        "authorized_official_telephone_number": "818-855-1955",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Encino, CA
• Providers in Encino, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; 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.