Individual provider Active NPI

Thomas Said Faulwell

  • Acupuncturist
  • New Haven, CT
National Provider Identifier
1053825323
Registry record updated Nov 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
714 Issued in CT
Practice address
59 Elm St Ste 100
New Haven, CT 06510-2047
Phone
(805) 404-0361
NPI assigned
Nov 25, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 714 CT Primary

Addresses

Primary practice location

59 Elm St Ste 100
New Haven, CT 06510-2047

Mailing address

434 George St Apt 3
New Haven, CT 06511-5489
Phone (805) 404-0361

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

Practice roles

OrganizationSpecialtyStatusNew patients
Faulwell Acupuncture LLC Acupuncturist Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1511568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511568000000",
    "number": "1053825323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 GEORGE ST APT 3",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065115489",
            "telephone_number": "805-404-0361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 ELM ST STE 100",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065102047",
            "telephone_number": "805-404-0361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAULWELL",
        "first_name": "THOMAS",
        "middle_name": "SAID",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-25",
        "last_updated": "2017-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CT",
            "license": "714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2017; 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.