Individual provider Active NPI

David Theodore Engstrom, EAPM, LMP

  • Acupuncturist
  • Seattle, WA
National Provider Identifier
1265646244
Registry record updated Jan 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC00000138 Issued in WA
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

Updated by the provider on Jan 27, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
AC00000138WAMDAcupuncturist
MA 60026945WAMDSpecialist

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.

Verify at the official NPI Registry.