Active NPI
Philip Kosdan, L.AC.
- Acupuncturist
- Carrboro, NC
National Provider Identifier
1043621360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 117
- Practice address
- 400 James St
Carrboro, NC 27510-1114 - Phone
- (919) 967-4259
- NPI assigned
- May 9, 2014
- Last updated
- May 9, 2014
- 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 | 117 | NC | Primary |
Addresses
Primary practice location
400 James St
Carrboro, NC 27510-1114
Mailing address
400 James St
Carrboro, NC 27510-1114
Phone (919) 967-4259
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 |
|---|---|---|---|
| 117 | NC | MD | Pastoral Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399593600000",
"number": "1043621360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 JAMES ST",
"city": "CARRBORO",
"state": "NC",
"postal_code": "275101114",
"telephone_number": "919-967-4259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 JAMES ST",
"city": "CARRBORO",
"state": "NC",
"postal_code": "275101114",
"telephone_number": "919-967-4259"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOSDAN",
"first_name": "PHILIP",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-05-09",
"last_updated": "2014-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NC",
"license": "117",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carrboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.