NPIMap

Organization Active NPI

Agapes Acupuncture, SC

  • Pain Clinic/Center
  • De Pere, WI
National Provider Identifier
1154474252
Registry record updated Mar 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
AGAPES ACUPUNCTURE, SC
Practice address
566 Redbird Cir
De Pere, WI 54115-8796
Phone
(920) 337-9100
Fax
(920) 337-9101
NPI assigned
Jan 19, 2007
Last updated
Mar 23, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2010

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

Authorized official

Name
Dr. Carl Robert Poley, M.D.
Title
President
Phone
(920) 337-9100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X Primary

Addresses

Primary practice location

566 Redbird Cir
De Pere, WI 54115-8796

Mailing address

566 Redbird Cir
De Pere, WI 54115-8796
Phone (920) 337-9100

National Provider Directory

National Provider Directory

Locations

566 Redbird Cir
De Pere, WI 54115
Phone (920) 337-9100

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269302400000",
    "number": "1154474252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "566 REDBIRD CIR",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541158796",
            "telephone_number": "920-337-9100",
            "fax_number": "920-337-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "566 REDBIRD CIR",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541158796",
            "telephone_number": "920-337-9100",
            "fax_number": "920-337-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPES ACUPUNCTURE, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2010-03-23",
        "status": "A",
        "authorized_official_last_name": "POLEY",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-337-9100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in De Pere, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; 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.