Coastal Acupuncture, Inc.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

048 Issued in NC

Legal business name

COASTAL ACUPUNCTURE, INC.

Practice address

108 N Kerr Ave Ste D6
Wilmington, NC 28405-3439

Phone

(910) 350-2740

NPI assigned

Oct 25, 2017

Organization subpart

No

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

Authorized official

Name

Diane M Gobrogge, L.AC.NPI 1255569109

Title

Owner/Acupuncturist

Phone

(910) 350-2740

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Diane Marie Gobrogge, L.AC

  • Acupuncturist
  • Wilmington, NC
  • NPI 1255569109
  NPD (past) Authorized official

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

{
    "created_epoch": "1508889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508889600000",
    "number": "1154833598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 N KERR AVE STE D6",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284053439",
            "telephone_number": "910-350-2740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 N KERR AVE STE D6",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284053439",
            "telephone_number": "910-350-2740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL ACUPUNCTURE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-25",
        "last_updated": "2017-10-25",
        "status": "A",
        "authorized_official_last_name": "GOBROGGE",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/ACUPUNCTURIST",
        "authorized_official_telephone_number": "910-350-2740",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "NC",
            "license": "048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1255569109",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Acupuncturist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2017; 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.