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Active NPI 1437354453 Individual Practitioner Male Practitioner

Dr. Ryan Pedersen , LAC, DOM

Acupuncturist • Boise, ID

Professional Overview & Biography Verified Profile Summary

Dr. Ryan Pedersen, LAC, DOM is a registered healthcare professional specializing in Acupuncturist in Boise, ID. Practice services are available at 8783 WEST HACKAMORE DRIVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

8783 West Hackamore Drive
Suite #8

Boise, ID 83709

Telephone 2083767172
Fax 2083764778

Specialty Benchmarks & Practice Insights

Comparative analytics for Acupuncturist in Boise, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 30.0 Yrs
Regional Practice Density
42 Specialists

Practicing in Boise, ID (119 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Acupuncturist Primary Specialty

NUCC Taxonomy Code: 171100000X

State License ID ACU-119

An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.

Acupuncturist

NUCC Taxonomy Code: 171100000X

State License ID NM 831

An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Bobette Gray , LAC

Acupuncturist

NPI 1255536272

Licensed Acupuncturist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 8783 WEST HACKAMORE DRIVE, SUITE #8, BOISE, ID 83709 (Tel: 2083767172)

📍
Updated Business Mailing Address July 09, 2007

Registered at 8783 WEST HACKAMORE DRIVE, SUITE #8, BOISE, ID 83709 (Tel: 2083767172)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as RYAN PEDERSEN, L.AC., D.O.M.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Acupuncturist (License #ACU-119 in ID)

🟢
Initial NPI Registration & Enumeration June 19, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1437354453
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 19, 2007
Last Update: July 09, 2007
Sole Proprietor: No
Update or Correct Profile

Mailing Address

8783 West Hackamore Drive, Suite #8

Boise, ID 83709

Phone: 2083767172

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.