Organization Active NPI

Donna Dupre, Lic. Ac.,Daom, a Professional Acupuncture Corporation

  • Acupuncturist
  • Burbank, CA
National Provider Identifier
1053867366
Registry record updated Aug 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC770 Issued in CA
Legal business name
DONNA DUPRE, LIC. AC.,DAOM, A PROFESSIONAL ACUPUNCTURE CORPORATION
Practice address
4444 W Riverside Dr
Suite 108
Burbank, CA 91505-4073
Phone
(818) 563-9453
Fax
(818) 563-9595
NPI assigned
Aug 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2016

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

Authorized official

Name
Donna Dupre, LIC AC, DAOMNPI 1205965100
Title
President
Phone
(818) 563-9453

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC770 CA Primary

Addresses

Primary practice location

4444 W Riverside Dr
Suite 108
Burbank, CA 91505-4073

Mailing address

4444 W Riverside Dr
Suite 108
Burbank, CA 91505-4073
Phone (818) 563-9453

Other names 1

  • Donna Dupre, L.Ac. Former legal business name

National Provider Directory

National Provider Directory

Locations

4444 W Riverside Dr
Ste 108
Burbank, CA 91505
Phone (818) 563-9453

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1472256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472256000000",
    "number": "1053867366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4444 W RIVERSIDE DR",
            "address_2": "SUITE 108",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054073",
            "telephone_number": "818-563-9453",
            "fax_number": "818-563-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 W RIVERSIDE DR",
            "address_2": "SUITE 108",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054073",
            "telephone_number": "818-563-9453",
            "fax_number": "818-563-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONNA DUPRE, LIC. AC.,DAOM, A PROFESSIONAL ACUPUNCTURE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-27",
        "last_updated": "2016-08-27",
        "status": "A",
        "authorized_official_last_name": "DUPRE",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-563-9453",
        "authorized_official_credential": "LIC AC, DAOM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Donna Dupre, L.Ac.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2016; 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.