Active NPI
David Theodore Engstrom, EAPM, LMP
- Acupuncturist
- Seattle, WA
National Provider Identifier
1265646244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC00000138
- Practice address
- 3618 California Ave SW
Seattle, WA 98116-3702 - Phone
- (206) 938-0682
- NPI assigned
- May 9, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC00000138 | WA | Primary |
| Specialist | 174400000X | MA 60026945 | WA |
Addresses
Primary practice location
3618 California Ave SW
Seattle, WA 98116-3702
Mailing address
2372 48TH Ave SW
Apt. 3
Seattle, WA 98116-2345
Phone (206) 938-0682
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 |
|---|---|---|---|
| AC00000138 | WA | MD | Acupuncturist |
| MA 60026945 | WA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359244800000",
"number": "1265646244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2372 48TH AVE SW",
"address_2": "APT. 3",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981162345",
"telephone_number": "206-938-0682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3618 CALIFORNIA AVE SW",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981163702",
"telephone_number": "206-938-0682"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENGSTROM",
"first_name": "DAVID",
"middle_name": "THEODORE",
"credential": "EAPM, LMP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-09",
"last_updated": "2013-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "WA",
"license": "AC00000138",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MA 60026945",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.