Individual provider Active NPI

Jeffrey Scott Mink, L.AC., O.M.D.

  • Acupuncturist
  • Kensington, CA
National Provider Identifier
1154450849
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC2581 Issued in CA
Practice address
267 Arlington Ave
Kensington, CA 94707-1400
Phone
(510) 528-0134
Fax
(510) 528-0134
NPI assigned
Mar 5, 2007
Sex
Male
Sole proprietor
Yes

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
AC2581CAMDAcupuncturist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC2581 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

267 Arlington Ave
Kensington, CA 94707-1400

Mailing address

267 Arlington Ave
Kensington, CA 94707-1400
Phone (510) 528-0134

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154450849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 ARLINGTON AVE",
            "city": "KENSINGTON",
            "state": "CA",
            "postal_code": "947071400",
            "telephone_number": "510-528-0134",
            "fax_number": "510-528-0134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 ARLINGTON AVE",
            "city": "KENSINGTON",
            "state": "CA",
            "postal_code": "947071400",
            "telephone_number": "510-528-0134",
            "fax_number": "510-528-0134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINK",
        "first_name": "JEFFREY",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "L.AC., O.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC2581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kensington, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.