Individual provider Active NPI

Lora Martin, ACUPUNCRTURE L. AC

  • Acupuncturist
  • Philadelphia, PA
National Provider Identifier
1184184327
Registry record updated Mar 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AK001173 Issued in PA
Practice address
110 S 20TH St Ste 200
Philadelphia, PA 19103-4486
Phone
(401) 787-0454
NPI assigned
Mar 22, 2019
Last updated
Mar 22, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AK001173 PA Primary

Addresses

Primary practice location

110 S 20TH St Ste 200
Philadelphia, PA 19103-4486

Mailing address

2323 Race St Unit 815
Philadelphia, PA 19103-1084
Phone (401) 787-0454

Other names 1

  • Miss Lora Martin Professional name

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
AK001173PAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1553212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553212800000",
    "number": "1184184327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 RACE ST UNIT 815",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191031084",
            "telephone_number": "401-787-0454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S 20TH ST STE 200",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191034486",
            "telephone_number": "401-787-0454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "LORA",
        "name_prefix": "Miss",
        "credential": "ACUPUNCRTURE L. AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-22",
        "last_updated": "2019-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "PA",
            "license": "AK001173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORA",
            "last_name": "MARTIN",
            "prefix": "MISS",
            "credential": "L. AC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Mar 22, 2019; 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.