Active NPI
Mary A Caban, LIC. AC.
- Acupuncturist
- Burlington, MA
National Provider Identifier
1104993831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 216159
- Practice address
- 6 Sarah St
Burlington, MA 01803-1214 - Phone
- (781) 643-5555
- NPI assigned
- Nov 29, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 19009 | MA | |
| Acupuncturist | 171100000X | 216159 | MA | Primary |
Addresses
Primary practice location
6 Sarah St
Burlington, MA 01803-1214
Mailing address
6 Sarah St
Burlington, MA 01803-1214
Phone (781) 643-5555
Other practice location 1
41 Mall Rd
Burlington, MA 01805-0001
Phone (781) 744-3781
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 216159 | MA | MD | Acupuncturist |
| 19009 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610064000000",
"number": "1104993831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 SARAH ST",
"city": "BURLINGTON",
"state": "MA",
"postal_code": "018031214",
"telephone_number": "781-643-5555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 SARAH ST",
"city": "BURLINGTON",
"state": "MA",
"postal_code": "018031214",
"telephone_number": "781-643-5555"
}
],
"practiceLocations": [
{
"address_1": "41 Mall Rd",
"address_purpose": "LOCATION",
"city": "Burlington",
"state": "MA",
"postal_code": "018050001",
"country_code": "US",
"telephone_number": "781-744-3781",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CABAN",
"first_name": "MARY",
"middle_name": "A",
"credential": "LIC. AC.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-29",
"last_updated": "2021-01-08",
"certification_date": "2021-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "19009",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MA",
"license": "216159",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.