Active NPI
Dave Jay Coyne, L.AC.
- Acupuncturist
- Louisville, KY
National Provider Identifier
1033481379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- TAC56
- Practice address
- 222 S 1St St
102
Louisville, KY 40202-5404 - Phone
- (619) 723-1540
- NPI assigned
- Feb 2, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 65.000205 | OH | |
| Acupuncturist | 171100000X | TAC56 | KY | Primary |
Addresses
Primary practice location
222 S 1St St
102
Louisville, KY 40202-5404
Mailing address
401 Sheldon Ave
Columbus, OH 43207-1257
Phone (619) 723-1540
Other names 1
- David Coyne
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TAC56 | KY | MD | Acupuncturist |
| 65.000205 | OH | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328140800000",
"number": "1033481379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 SHELDON AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432071257",
"telephone_number": "619-723-1540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 S 1ST ST",
"address_2": "102",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402025404",
"telephone_number": "619-723-1540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COYNE",
"first_name": "DAVE",
"middle_name": "JAY",
"name_prefix": "Mr.",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-02-02",
"last_updated": "2012-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "OH",
"license": "65.000205",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "KY",
"license": "TAC56",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DAVID",
"last_name": "COYNE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.