Healthy Lives Acupuncture LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

1296 Issued in CO

Legal business name

HEALTHY LIVES ACUPUNCTURE LLC

Doing business as

Healthy Lives Clinic LLC

Practice address

3333 S Wadsworth Blvd BLDG D
Lakewood, CO 80227-5122

Phone

(303) 922-0079

NPI assigned

May 20, 2007

Last updated

Dec 20, 2010By 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

Marcus Aaron Rhoden

Title

Member

Phone

(303) 922-0079

Specialties & licenses 2

Addresses

Other names 1

• Healthy Lives Clinic LLC Doing business as

Locations

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

{
    "created_epoch": "1179619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292803200000",
    "number": "1972711059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 S WADSWORTH BLVD BLDG D",
            "address_2": "PO BOX 1",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802275122",
            "telephone_number": "303-922-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 S WADSWORTH BLVD BLDG D",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802275122",
            "telephone_number": "303-922-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY LIVES ACUPUNCTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-20",
        "last_updated": "2010-12-20",
        "status": "A",
        "authorized_official_last_name": "RHODEN",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_middle_name": "AARON",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "303-922-0079"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "11675",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "1296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthy Lives Clinic LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2010; 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.