Active NPI
Mozart R Paiva, L. AC
- Acupuncturist
- Bridgeport, CT
National Provider Identifier
1033676903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- U02573
- Practice address
- 115 Park Ave FL 2
Bridgeport, CT 06604-5621 - Phone
- (203) 572-1253
- NPI assigned
- Feb 26, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | U02573 | MD | Primary |
Addresses
Primary practice location
115 Park Ave FL 2
Bridgeport, CT 06604-5621
Mailing address
115 Park Ave FL 2
Bridgeport, CT 06604-5621
Phone (203) 572-1253
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 |
|---|---|---|---|
| U02573 | MD | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551139200000",
"number": "1033676903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 PARK AVE FL 2",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066045621",
"telephone_number": "203-572-1253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 PARK AVE FL 2",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066045621",
"telephone_number": "203-572-1253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAIVA",
"first_name": "MOZART",
"middle_name": "R",
"credential": "L. AC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-02-26",
"last_updated": "2019-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MD",
"license": "U02573",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bridgeport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.