Individual provider Active NPI

Eric Recine, L.A.C. C.A.

  • Acupuncturist
  • Green Bay, WI
National Provider Identifier
1194957571
Registry record updated Aug 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
639055 Issued in WI
Practice address
1075 Brookwood Dr
Green Bay, WI 54304-4135
Phone
(920) 496-6000
NPI assigned
Aug 18, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 639055 WI Primary

Addresses

Primary practice location

1075 Brookwood Dr
Green Bay, WI 54304-4135

Mailing address

W7417 Butterfly LN
Shiocton, WI 54170-8898
Phone (920) 915-9882

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
639055WIMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Quality Chiropractic & Stress Reduction Center, S.C. Past Accepting new patients
Procare Chiropractic Clinic LTD Past Accepting new patients

Organizations & group practices 2

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": "1250553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250553600000",
    "number": "1194957571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W7417 BUTTERFLY LN",
            "city": "SHIOCTON",
            "state": "WI",
            "postal_code": "541708898",
            "telephone_number": "920-915-9882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 BROOKWOOD DR",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543044135",
            "telephone_number": "920-496-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RECINE",
        "first_name": "ERIC",
        "credential": "L.A.C. C.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-18",
        "last_updated": "2009-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WI",
            "license": "639055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2009; 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.