Active NPI
Bronwyn Dalton Clark, L.AC., M.AC., DIPLAC
- Acupuncturist
- Washington, DC
National Provider Identifier
1154513737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC500090
- Practice address
- 1740 Wisconsin Ave NW
Washington, DC 20007-2313 - Phone
- (202) 321-2923
- NPI assigned
- Aug 16, 2007
- 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 | AC500090 | DC | Primary |
Addresses
Primary practice location
1740 Wisconsin Ave NW
Washington, DC 20007-2313
Mailing address
1932 35TH Place, NW
Washington, DC 20007
Phone (301) 213-9117
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 |
|---|---|---|---|
| AC500090 | DC | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DC Acupuncture | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Point of Service
- Washington, DC
- NPI 1033423884
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280880000000",
"number": "1154513737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1932 35TH PLACE, NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20007",
"telephone_number": "301-213-9117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1740 WISCONSIN AVE NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200072313",
"telephone_number": "202-321-2923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "BRONWYN",
"middle_name": "DALTON",
"name_prefix": "Mrs.",
"credential": "L.AC., M.AC., DIPLAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-16",
"last_updated": "2010-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "DC",
"license": "AC500090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.