Individual provider Active NPI

Owen McPeake, M.AC., D.OM.

  • Acupuncturist
  • Philadelphia, PA
National Provider Identifier
1174959522
Registry record updated Sep 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
OM000166 Issued in PA
Practice address
4026 Main St
Philadelphia, PA 19127-2112
Phone
(267) 437-3299
NPI assigned
Sep 17, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X OM000166 PA Primary

Addresses

Primary practice location

4026 Main St
Philadelphia, PA 19127-2112

Mailing address

145 Treichler Rd
Alburtis, PA 18011-2034
Phone (484) 547-7999

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
OM000166PAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Flat Rock Health Medical Associates 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.

NPI Registry JSON

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

{
    "created_epoch": "1379376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379376000000",
    "number": "1174959522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 TREICHLER RD",
            "city": "ALBURTIS",
            "state": "PA",
            "postal_code": "180112034",
            "telephone_number": "484-547-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4026 MAIN ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191272112",
            "telephone_number": "267-437-3299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCPEAKE",
        "first_name": "OWEN",
        "name_prefix": "Mr.",
        "credential": "M.AC., D.OM.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-17",
        "last_updated": "2013-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "PA",
            "license": "OM000166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2013; 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.