Active NPI
Deborah Sue Dick, L.AC.
- Acupuncturist
- Minneapolis, MN
National Provider Identifier
1073725032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 1389
- Practice address
- 2457 Lyndale Ave S
Minneapolis, MN 55405-3698 - Phone
- (612) 247-3363
- NPI assigned
- May 3, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 1389 | MN | Primary |
Addresses
Primary practice location
2457 Lyndale Ave S
Minneapolis, MN 55405-3698
Mailing address
1160 Park Ave
Mahtomedi, MN 55115-1931
Phone (651) 647-5124
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245369600000",
"number": "1073725032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1160 PARK AVE",
"city": "MAHTOMEDI",
"state": "MN",
"postal_code": "551151931",
"telephone_number": "651-647-5124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2457 LYNDALE AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554053698",
"telephone_number": "612-247-3363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICK",
"first_name": "DEBORAH",
"middle_name": "SUE",
"name_prefix": "Ms.",
"credential": "L.AC.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2009-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MN",
"license": "1389",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.