NPIMap

Organization Active NPI

Elissa Oppenheim

Doing business as Restore Balance Acupuncture

  • Acupuncturist
  • Woburn, MA
National Provider Identifier
1053953463
Registry record updated Oct 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
ELISSA OPPENHEIM
Doing business as
Restore Balance Acupuncture
Practice address
100 Sylvan Rd Ste 725
Woburn, MA 01801-1800
Phone
(978) 705-1109
NPI assigned
Oct 17, 2019
Last updated
Oct 17, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2019

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

Authorized official

Name
Elissa Oppenheim, LACNPI 1376942995
Title
Owner
Phone
(978) 705-1109

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
Acupuncturist 171100000X NU Primary

Addresses

Primary practice location

100 Sylvan Rd Ste 725
Woburn, MA 01801-1800

Mailing address

54 Long Ave
Belmont, MA 02478-2963
Phone (978) 705-1109

Other names 1

  • Restore Balance Acupuncture Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1571270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571270400000",
    "number": "1053953463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 LONG AVE",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "024782963",
            "telephone_number": "978-705-1109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SYLVAN RD STE 725",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018011800",
            "telephone_number": "978-705-1109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELISSA OPPENHEIM",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-17",
        "last_updated": "2019-10-17",
        "status": "A",
        "authorized_official_last_name": "OPPENHEIM",
        "authorized_official_first_name": "ELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-705-1109",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restore Balance Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woburn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; 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.