RYAN PEDERSEN L.AC., D.O.M.
NPI 1437354453
Acupuncturist in Boise, ID

Q: What is Ryan Pedersen's NPI number?

The NPI number for Ryan Pedersen is 1437354453. It was assigned to this individual provider in the NPPES registry on June 19, 2007.

Q: What is Ryan Pedersen's specialty?

The primary specialty registered for this NPI is Acupuncturist with taxonomy code 171100000X.

Q: When was this NPI record last updated?

The NPPES record for Ryan Pedersen was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 19, 2007

8783 WEST HACKAMORE DRIVE, SUITE #8, BOISE, ID 83709(208) 376-7172(208) 376-4778 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ryan Pedersen L.ac., D.o.m. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RYAN PEDERSEN L.AC., D.O.M. (NPI 1437354453) is an individual acupuncturist in Boise, Idaho, licensed in Idaho (ACU-119) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1437354453

Entity TypeIndividualMale

Primary Taxonomy171100000X

Provider Legal NameRYAN PEDERSENCredential: L.AC., D.O.M.

Location Address8783 WEST HACKAMORE DRIVE, SUITE #8Boise, ID 83709

Mailing Address8783 West Hackamore Drive, Suite #8Boise, ID 83709 · (208) 376-7172 · Fax (208) 376-4778

Phone(208) 376-7172

Fax(208) 376-4778

Sole ProprietorNo

Enumeration DateJune 19, 2007

Last NPPES UpdateJuly 9, 2007

✔ NPI 1437354453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAcupuncturistOther Service Providers

Taxonomy Code171100000X

Licenses✔ Licensed in ID · ACU-119✔ Licensed in ID · NM 831

Definition

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.

8783 WEST HACKAMORE DRIVE, Boise, ID 83709

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Other Identifiers 2

Medicare UPIN000010150868ID

Medicare UPINNCBL1ID

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ryan Pedersen's NPI number?

The NPI number for Ryan Pedersen is 1437354453. It was assigned to this individual provider in the NPPES registry on June 19, 2007.

Where is Ryan Pedersen located?

Ryan Pedersen practices at 8783 West Hackamore Drive Suite #8, Boise, ID 83709. The listed phone number is (208) 376-7172.

What is Ryan Pedersen's specialty?

The primary specialty registered for this NPI is Acupuncturist with taxonomy code 171100000X.

When was this NPI record last updated?

The NPPES record for Ryan Pedersen was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.