Edward Dea, R.AC., L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

65.000.115 Issued in OH

Practice address

2460 Fairmount Blvd, Heights Medical BLDG., Suite #324
Cleveland Heights, OH 44106

Phone

(216) 647-2486

NPI assigned

Mar 27, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1093987299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2937 HAMPSHIRE ROAD",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "44118",
            "telephone_number": "216-647-2486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 FAIRMOUNT BLVD, HEIGHTS MEDICAL BLDG., SUITE #324",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "44106",
            "telephone_number": "216-647-2486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEA",
        "first_name": "EDWARD",
        "credential": "R.AC., L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-27",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OH",
            "license": "65.000.115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristina L Davis
• Denise M Davis
• Malinda Danielle Davis, DODD
• Tyshaun M Davis
• Danny Joseph Day, P.A.-C.
• Thomas Aaron Debardelaben Jr., LPN
• Tiesha Sharease Debardelaben, LPN
• Deborah a. Martin, PH.D., Inc.
• Ariel Defreeze, LISW-S
• Norman Deloach Jr., D.D.S., M.S.

• Acupuncturist in Cleveland Heights, OH
• Providers in Cleveland Heights, OH by specialty
• Acupuncturist in Ohio

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