Active NPI
Kenneth Robert Hoffman, D.AC., L.AC.
- Acupuncturist
- Brookfield, CT
National Provider Identifier
1053485292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 000314
- Practice address
- 31 Old Route 7
Brookfield, CT 06804-2041 - Phone
- (203) 740-9300
- Fax
- (203) 740-9301
- NPI assigned
- Nov 20, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 000314 | CT | Primary |
Addresses
Primary practice location
31 Old Route 7
Brookfield, CT 06804-2041
Mailing address
31 Old Route 7
Brookfield, CT 06804-2041
Phone (203) 740-9300
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 314 | Other | CT | AETNA |
| P3464595 | Other | CT | OXFORD PROVIDER NUMBER |
| 940000314CT01 | Other | CT | ANTHEM PROVIDER NUMBER |
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 |
|---|---|---|---|
| 000314 | CT | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428537600000",
"number": "1053485292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 OLD ROUTE 7",
"city": "BROOKFIELD",
"state": "CT",
"postal_code": "068042041",
"telephone_number": "203-740-9300",
"fax_number": "203-740-9301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 OLD ROUTE 7",
"city": "BROOKFIELD",
"state": "CT",
"postal_code": "068042041",
"telephone_number": "203-740-9300",
"fax_number": "203-740-9301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFFMAN",
"first_name": "KENNETH",
"middle_name": "ROBERT",
"credential": "D.AC., L.AC.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-20",
"last_updated": "2015-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CT",
"license": "000314",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "314",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD PROVIDER NUMBER",
"identifier": "P3464595",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROVIDER NUMBER",
"identifier": "940000314CT01",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brookfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.