Active NPI
Denice Maylene Gaddie, ACUPUNCTURIST
- Acupuncturist
- Bisbee, AZ
National Provider Identifier
1144525080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 0417
- Practice address
- 125 Bisbee Rd.
Bisbee, AZ 85603 - Phone
- (520) 366-1137
- NPI assigned
- Jan 25, 2011
- Last updated
- Jan 25, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 0417 | AZ | Primary |
Addresses
Primary practice location
125 Bisbee Rd.
Bisbee, AZ 85603
Mailing address
PO Box 671
Naco, AZ 85620-0671
Phone (520) 366-1137
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 |
|---|---|---|---|
| 0417 | AZ | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295913600000",
"number": "1144525080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 671",
"city": "NACO",
"state": "AZ",
"postal_code": "856200671",
"telephone_number": "520-366-1137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 BISBEE RD.",
"city": "BISBEE",
"state": "AZ",
"postal_code": "85603",
"telephone_number": "520-366-1137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GADDIE",
"first_name": "DENICE",
"middle_name": "MAYLENE",
"name_prefix": "Ms.",
"credential": "ACUPUNCTURIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-25",
"last_updated": "2011-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "AZ",
"license": "0417",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bisbee, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.