Organization Active NPI

Rocky Coast Family Acupuncture, PA

  • Acupuncturist
  • Portland, ME
National Provider Identifier
1104956671
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC237 Issued in ME
Legal business name
ROCKY COAST FAMILY ACUPUNCTURE, PA
Practice address
500 Forest Ave
Suite 2a
Portland, ME 04101-1541
Phone
(207) 775-2059
NPI assigned
Mar 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jason Sher Stein, L.AC.NPI 1124107339
Title
President
Phone
(207) 775-2059

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 MULTIPLE SINGLE SPECIALTY GROUP 171100000X AC237 ME Primary

Addresses

Primary practice location

500 Forest Ave
Suite 2a
Portland, ME 04101-1541

Mailing address

500 Forest Ave
Suite 2a
Portland, ME 04101-1541
Phone (207) 775-2059

Other identifiers 1

IdentifierTypeStateIssuer
061669OtherMEANTHEM PIN #

National Provider Directory

National Provider Directory

Locations

500 Forest Ave
Ste 2A
Portland, ME 04101
Phone (207) 775-2059

Practitioners & affiliated clinicians

Practitioners 5

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": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104956671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 FOREST AVE",
            "address_2": "SUITE 2A",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041011541",
            "telephone_number": "207-775-2059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 FOREST AVE",
            "address_2": "SUITE 2A",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041011541",
            "telephone_number": "207-775-2059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY COAST FAMILY ACUPUNCTURE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "SHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-775-2059",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "ME",
            "license": "AC237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN #",
            "identifier": "061669",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.