Organization Active NPI

White Crane Acupuncture LLC

  • Acupuncturist
  • Pueblo, CO
National Provider Identifier
1962248906
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
WHITE CRANE ACUPUNCTURE LLC
Practice address
902 W 29TH St
Pueblo, CO 81008-1159
Phone
(719) 248-4820
NPI assigned
Jul 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Authorized official

Name
Zachary Gray, M.AC.O.M.,L.AC.
Title
Owner/Acupuncturist
Phone
(719) 248-4820

Specialties & licenses 1

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

Addresses

Primary practice location

902 W 29TH St
Pueblo, CO 81008-1159

Mailing address

902 W 29TH St
Pueblo, CO 81008-1159
Phone (719) 248-4820

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.

NPI Registry JSON

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

{
    "created_epoch": "1720396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720396800000",
    "number": "1962248906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 W 29TH ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810081159",
            "telephone_number": "719-248-4820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 W 29TH ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810081159",
            "telephone_number": "719-248-4820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE CRANE ACUPUNCTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-08",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_title_or_position": "OWNER/ACUPUNCTURIST",
        "authorized_official_telephone_number": "719-248-4820",
        "authorized_official_credential": "M.AC.O.M.,L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; 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.