Dedham Acupuncture, LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

216170 Issued in MA

Legal business name

DEDHAM ACUPUNCTURE, LLC

Practice address

111 Eastern Ave
Dedham, MA 02026-4515

Phone

(781) 686-2395

Fax

(781) 326-2277

NPI assigned

Mar 26, 2014

Last updated

Mar 26, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nicole Lynn Stern, M.AC, LIC.AC

Title

Owner

Phone

(781) 686-2395

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

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.

• Kelly Concepcion

  • Acupuncturist
  • Dedham, MA
  • NPI 1033891650
  NPD (past)
• Alison Renee Farraher

  • Acupuncturist
  • Dedham, MA
  • NPI 1962764886
  NPD (past)

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

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395792000000",
    "number": "1063839207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 EASTERN AVE",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020264515",
            "telephone_number": "781-686-2395",
            "fax_number": "781-326-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 EASTERN AVE",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020264515",
            "telephone_number": "781-686-2395",
            "fax_number": "781-326-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEDHAM ACUPUNCTURE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-26",
        "last_updated": "2014-03-26",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-686-2395",
        "authorized_official_credential": "M.AC, LIC.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MA",
            "license": "216170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1841487428",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "1346685997",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michaela Davis
• Day Or Night Care, LLC
• Patricia Ann Dazet, LAC
• Jennifer De la Cruz
• Caroline Decoste
• Dedham Consultation Center LLC
• Dedham Dental Associates, LLC
• Dedham Dentist, P.C.
• Dedham Family Dental Care PC
• Dedham Family Dental, P.C.

• Acupuncturist in Dedham, MA
• Providers in Dedham, MA by specialty
• Acupuncturist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2014; 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.