Organization Active NPI

Devoted Dawn Acupuncture, LLC

  • Acupuncturist
  • Southern Pines, NC
National Provider Identifier
1104367341
Registry record updated Mar 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
907 Issued in NC
Legal business name
DEVOTED DAWN ACUPUNCTURE, LLC
Practice address
780 NW Broad St
Suite 300
Southern Pines, NC 28387-4102
Phone
(910) 725-0727
Fax
(910) 725-0728
NPI assigned
Mar 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2017

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

Authorized official

Name
Stephanie Marie Mason, L.AC., DOMNPI 1801343314
Title
Doctor of Oriental Medicine
Phone
(910) 725-0727

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
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 907 NC Primary

Addresses

Primary practice location

780 NW Broad St
Suite 300
Southern Pines, NC 28387-4102

Mailing address

780 NW Broad St
Suite 300
Southern Pines, NC 28387-4102
Phone (910) 725-0727

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.

NPI Registry JSON

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489968000000",
    "number": "1104367341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 NW BROAD ST",
            "address_2": "SUITE 300",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283874102",
            "telephone_number": "910-725-0727",
            "fax_number": "910-725-0728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 NW BROAD ST",
            "address_2": "SUITE 300",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283874102",
            "telephone_number": "910-725-0727",
            "fax_number": "910-725-0728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVOTED DAWN ACUPUNCTURE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-20",
        "last_updated": "2017-03-20",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DOCTOR OF ORIENTAL MEDICINE",
        "authorized_official_telephone_number": "910-725-0727",
        "authorized_official_credential": "L.AC., DOM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "NC",
            "license": "907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southern Pines, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2017; 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.