Active NPI
Daphne Jean, LAC
- Acupuncturist
- Bridgeport, CT
National Provider Identifier
1174247191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 000776
- Practice address
- 9 Patricia Rd Unit H
Bridgeport, CT 06606-2053 - Phone
- (908) 313-7449
- NPI assigned
- Oct 3, 2022
- 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 | 000776 | CT | Primary |
Addresses
Primary practice location
9 Patricia Rd Unit H
Bridgeport, CT 06606-2053
Mailing address
9 Patricia Rd Unit H
Bridgeport, CT 06606-2053
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664755200000",
"number": "1174247191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 PATRICIA RD UNIT H",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066062053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 PATRICIA RD UNIT H",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066062053",
"telephone_number": "908-313-7449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEAN",
"first_name": "DAPHNE",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-03",
"last_updated": "2022-10-03",
"certification_date": "2022-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CT",
"license": "000776",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bridgeport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.