Active NPI
Rolen Chom
- Acupuncturist
- Wilmington, MA
National Provider Identifier
1083015291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- Practice address
- 407 Salem St
Wilmington, MA 01887-1233 - Phone
- (617) 834-4798
- NPI assigned
- Sep 7, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 | MA | Primary |
Addresses
Primary practice location
407 Salem St
Wilmington, MA 01887-1233
Mailing address
407 Salem St
Wilmington, MA 01887-1233
Phone (617) 834-4798
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": "1410048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410048000000",
"number": "1083015291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 SALEM ST",
"city": "WILMINGTON",
"state": "MA",
"postal_code": "018871233",
"telephone_number": "617-834-4798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 SALEM ST",
"city": "WILMINGTON",
"state": "MA",
"postal_code": "018871233",
"telephone_number": "617-834-4798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOM",
"first_name": "ROLEN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-09-07",
"last_updated": "2014-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.