Individual provider Active NPI

Megan Elizabeth Dauphin, L.AC.

  • Acupuncturist
  • Fremont, CA
National Provider Identifier
1144461781
Registry record updated Nov 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
13042 Issued in CA
Practice address
43353 Mission Blvd # B
Fremont, CA 94539-5828
Phone
(510) 438-0128
NPI assigned
Mar 11, 2009
Last updated
Nov 18, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 13042 CA Primary

Addresses

Primary practice location

43353 Mission Blvd # B
Fremont, CA 94539-5828

Mailing address

43353 Mission Blvd # B
Fremont, CA 94539-5828
Phone (831) 428-5785

Other names 1

  • Megan Boswell Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Revive Acupuncture Incorporated Acupuncturist Past Accepting new patients
Revive Acupuncture Acupuncturist 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1236729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384732800000",
    "number": "1144461781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43353 MISSION BLVD # B",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945395828",
            "telephone_number": "831-428-5785",
            "fax_number": "510-952-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43353 MISSION BLVD # B",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945395828",
            "telephone_number": "510-438-0128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAUPHIN",
        "first_name": "MEGAN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Miss",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-11",
        "last_updated": "2013-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "13042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "BOSWELL",
            "credential": "L.AC.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2013; 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.