Active NPI
David Alan Blonn
- Acupuncturist
- Jacksonville, NC
National Provider Identifier
1205354891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- LAC-851
- Practice address
- 921 Lejeune Blvd # B
Jacksonville, NC 28540-5916 - Phone
- (630) 589-4370
- NPI assigned
- Sep 2, 2017
- Last updated
- Sep 2, 2017
- Sex
- Male
- 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 | LAC-851 | NC | Primary |
Addresses
Primary practice location
921 Lejeune Blvd # B
Jacksonville, NC 28540-5916
Mailing address
112 Silver Queen LN
Richlands, NC 28574-8437
Phone (630) 589-4370
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
| License | State | Type | Specialty |
|---|---|---|---|
| LAC-851 | NC | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504310400000",
"number": "1205354891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 SILVER QUEEN LN",
"city": "RICHLANDS",
"state": "NC",
"postal_code": "285748437",
"telephone_number": "630-589-4370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "921 LEJEUNE BLVD # B",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285405916",
"telephone_number": "630-589-4370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLONN",
"first_name": "DAVID",
"middle_name": "ALAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-09-02",
"last_updated": "2017-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NC",
"license": "LAC-851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.