Active NPI
Tyler Ross White, L.AC. DOM
- Acupuncturist
- Asheville, NC
National Provider Identifier
1043725807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 1055
- Practice address
- 33 Orange St
Asheville, NC 28801-2328 - Phone
- (304) 922-0451
- NPI assigned
- Dec 2, 2017
- Sex
- Male
- Sole proprietor
- No
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 | 006131-1 | NY | |
| Acupuncturist | 171100000X | 1055 | NC | Primary |
Addresses
Primary practice location
33 Orange St
Asheville, NC 28801-2328
Mailing address
307 Fairfax Ave
Asheville, NC 28806-3265
Phone (304) 922-0451
Other practice location 1
816 8th Ave
Brooklyn, NY 11215-4192
Phone (304) 922-0451
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://ashevilleholisticacupuncture.com/ |
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 |
|---|---|---|---|
| 1055 | NC | MD | Clinical Child & Adolescent Psychologist |
| 006131-1 | NY | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582588800000",
"number": "1043725807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 FAIRFAX AVE",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288063265",
"telephone_number": "304-922-0451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 ORANGE ST",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288012328",
"telephone_number": "304-922-0451"
}
],
"practiceLocations": [
{
"address_1": "816 8th Ave",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112154192",
"country_code": "US",
"telephone_number": "304-922-0451",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITE",
"first_name": "TYLER",
"middle_name": "ROSS",
"name_prefix": "Dr.",
"credential": "L.AC. DOM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-12-02",
"last_updated": "2020-02-25",
"certification_date": "2020-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "006131-1",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NC",
"license": "1055",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://ashevilleholisticacupuncture.com/",
"affiliation": "N",
"endpointDescription": "business website",
"address_1": "33 Orange St",
"city": "Asheville",
"state": "NC",
"country_code": "US",
"postal_code": "288012328",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Asheville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.