Stellar Healing LP

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC14879 Issued in CA

Legal business name

STELLAR HEALING LP

Practice address

2840 Park Ave
Soquel, CA 95073-2866

Phone

(503) 740-4772

NPI assigned

Sep 6, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Miranda Gensler, DAOM

Title

Owner

Phone

(503) 740-4772

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Miranda Welch, D.A.O.M, L.AC,

  • Acupuncturist
  • White Salmon, WA
  • NPI 1093084857
  NPD (past)

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

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504656000000",
    "number": "1992223309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 MOTT AVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950623729",
            "telephone_number": "503-740-4772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2840 PARK AVE",
            "city": "SOQUEL",
            "state": "CA",
            "postal_code": "950732866",
            "telephone_number": "503-740-4772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STELLAR HEALING LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-06",
        "last_updated": "2017-09-06",
        "status": "A",
        "authorized_official_last_name": "GENSLER",
        "authorized_official_first_name": "MIRANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-740-4772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DAOM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC14879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sitton Chiropractic PC
• Matthew Burton Smith, D.D.S.
• Spine Clinic of Monterey Bay
• Gabrielle Stanford, LAC, DAOM
• Stellar Acupuncture Inc
• Christopher Summa, M.D.
• Carol Sun, MFT
• Susannah Lee Lac, Inc
• Shauna Sutton
• Deborah Ann Syren-Vitullo, PH.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2017; 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.