Individual provider Active NPI

David Mitts, LIC.AC.

  • Acupuncturist
  • Prescott Valley, AZ
National Provider Identifier
1265839385
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
LAC-010720 Issued in AZ
Practice address
3681 N Robert Rd
Prescott Valley, AZ 86314-8568
Phone
(928) 514-9965
NPI assigned
Dec 4, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X LAC-010720 AZ Primary

Addresses

Primary practice location

3681 N Robert Rd
Prescott Valley, AZ 86314-8568

Mailing address

7931 E Bella Vista LN
Prescott Valley, AZ 86315-0082
Phone (425) 306-2926

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
LAC-010720AZMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1417651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1265839385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7931 E BELLA VISTA LN",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863150082",
            "telephone_number": "425-306-2926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3681 N ROBERT RD",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863148568",
            "telephone_number": "928-514-9965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITTS",
        "first_name": "DAVID",
        "name_prefix": "Prof.",
        "credential": "LIC.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-04",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "AZ",
            "license": "LAC-010720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; 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.