Individual provider Active NPI

Daniel Bertapelle

  • Acupuncturist
  • Seattle, WA
National Provider Identifier
1053777276
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC61405297 Issued in WA
Practice address
5429 Russell Ave NW Ste 300
Seattle, WA 98107-4010
Phone
(206) 783-6000
Fax
(206) 783-6006
NPI assigned
Jan 4, 2016
Last updated
May 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC 15765 CA
Acupuncturist 171100000X AC61405297 WA Primary

Addresses

Primary practice location

5429 Russell Ave NW Ste 300
Seattle, WA 98107-4010

Mailing address

5429 Russell Ave NW Ste 300
Seattle, WA 98107-4010
Phone (206) 783-6000

Other practice location 1

601 S Pine St Ste 201
Tacoma, WA 98405-2795
Phone (253) 396-1000

Other identifiers 1

IdentifierTypeStateIssuer
15765OtherCACA ACUPUNCTURE BOARD

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

LicenseStateTypeSpecialty
AC 15765CAMDAcupuncturist
AC61405297WAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Movement Science Physical Therapy and Fitness Inc Past Accepting new patients
Tacoma Chiropractic Health Connection Single Specialty PastSince Apr 1, 2007 Accepting new patients
E1Spine PLLC Acupuncturist PastSince May 24, 2020 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1451865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1053777276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5429 RUSSELL AVE NW STE 300",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981074010",
            "telephone_number": "206-783-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5429 RUSSELL AVE NW STE 300",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981074010",
            "telephone_number": "206-783-6000",
            "fax_number": "206-783-6006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 S Pine St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984052795",
            "country_code": "US",
            "telephone_number": "253-396-1000",
            "fax_number": "253-396-1012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERTAPELLE",
        "first_name": "DANIEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-04",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 15765",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC61405297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA ACUPUNCTURE BOARD",
            "identifier": "15765",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.