Active NPI
Konstandina Angela Gialalidis, L.AC
- Acupuncturist
- Glastonbury, CT
National Provider Identifier
1013570530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 634
- Practice address
- 1218 New London Tpke
Glastonbury, CT 06033-3053 - Phone
- (860) 977-4837
- NPI assigned
- Apr 19, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 634 | CT | Primary |
Addresses
Primary practice location
1218 New London Tpke
Glastonbury, CT 06033-3053
Mailing address
1218 New London Tpke
Glastonbury, CT 06033-3053
Phone (860) 977-4837
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555632000000",
"number": "1013570530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1218 NEW LONDON TPKE",
"city": "GLASTONBURY",
"state": "CT",
"postal_code": "060333053",
"telephone_number": "860-977-4837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1218 NEW LONDON TPKE",
"city": "GLASTONBURY",
"state": "CT",
"postal_code": "060333053",
"telephone_number": "860-977-4837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIALALIDIS",
"first_name": "KONSTANDINA",
"middle_name": "ANGELA",
"credential": "L.AC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-19",
"last_updated": "2019-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CT",
"license": "634",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glastonbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.