Individual provider Active NPI

Kevin V Ergil, L.AC.

  • Acupuncturist
  • Seneca Falls, NY
National Provider Identifier
1174706212
Registry record updated Dec 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
399 Issued in NY
Practice address
2360 State Route 89
Seneca Falls, NY 13148-9425
Phone
(315) 560-3211
NPI assigned
Dec 12, 2007
Last updated
Dec 12, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 399 NY Primary

Addresses

Primary practice location

2360 State Route 89
Seneca Falls, NY 13148-9425

Mailing address

29 N Main St
Geneva, NY 14456-1601
Phone (315) 781-2051

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
399NYMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197417600000",
    "number": "1174706212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 N MAIN ST",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144561601",
            "telephone_number": "315-781-2051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 STATE ROUTE 89",
            "city": "SENECA FALLS",
            "state": "NY",
            "postal_code": "131489425",
            "telephone_number": "315-560-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERGIL",
        "first_name": "KEVIN",
        "middle_name": "V",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-12",
        "last_updated": "2007-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seneca Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.