Individual provider Active NPI

Joshua Shain, MSAOM

  • Acupuncturist
  • Trumbull, CT
National Provider Identifier
1134577984
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
583 Issued in CT
Practice address
6515 Main St Ste 4a
Trumbull, CT 06611-6350
Phone
(203) 673-9600
NPI assigned
Jun 1, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 583 CT Primary

Addresses

Primary practice location

6515 Main St Ste 4a
Trumbull, CT 06611-6350

Mailing address

6 Ash Cir
Trumbull, CT 06611-5276
Phone (203) 673-9600

Other practice location 1

136 Beach Ave
Milford, CT 06460-8063
Phone (203) 673-9600

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

LicenseStateTypeSpecialty
583CTMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Harmonetiks Warriors Acupuncturist Current Accepting new patients
Optimus Health Care Inc Single Specialty Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1134577984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 ASH CIR",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066115276",
            "telephone_number": "203-673-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6515 MAIN ST STE 4A",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066116350",
            "telephone_number": "203-673-9600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "136 Beach Ave",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "CT",
            "postal_code": "064608063",
            "country_code": "US",
            "telephone_number": "203-673-9600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAIN",
        "first_name": "JOSHUA",
        "credential": "MSAOM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-01",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CT",
            "license": "583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trumbull, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.