NPIMap

Organization Active NPI

Lake Acupuncture LLC

  • Acupuncturist
  • Minneapolis, MN
National Provider Identifier
1982361648
Registry record updated Nov 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
LAKE ACUPUNCTURE LLC
Practice address
2929 4TH Ave S Ste 208
Minneapolis, MN 55408-2465
Phone
(612) 353-6907
NPI assigned
Nov 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2021

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

Authorized official

Name
Nicholas ZimetNPI 1659523306
Title
Owner
Phone
(612) 353-6907

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

2929 4TH Ave S Ste 208
Minneapolis, MN 55408-2465

Mailing address

2929 4TH Ave S Ste 208
Minneapolis, MN 55408-2465
Phone (612) 353-6907

National Provider Directory

National Provider Directory

Locations

2929 4th Ave S
Ste 208
Minneapolis, MN 55408
Phone (612) 353-6907

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": "1637107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637107200000",
    "number": "1982361648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 4TH AVE S STE 208",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082465",
            "telephone_number": "612-353-6907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 4TH AVE S STE 208",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082465",
            "telephone_number": "612-353-6907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE ACUPUNCTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-17",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A",
        "authorized_official_last_name": "ZIMET",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-353-6907"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.