Stephen Lord Paine, L.AC., OMD

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

512 Issued in CT

Practice address

536 Hopmeadow St
Simsbury, CT 06070-2415

Phone

(860) 413-2118

Fax

(860) 920-5216

NPI assigned

Aug 17, 2011

Last updated

Oct 26, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mayflower Acupuncture LLC

  • Acupuncturist
  • Simsbury, CT
  • NPI 1952853863
  NPD (past)

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

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477440000000",
    "number": "1295015519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 SPRING GLEN DR",
            "city": "GRANBY",
            "state": "CT",
            "postal_code": "060352622",
            "telephone_number": "860-413-2118",
            "fax_number": "860-920-5216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 HOPMEADOW ST",
            "city": "SIMSBURY",
            "state": "CT",
            "postal_code": "060702415",
            "telephone_number": "860-413-2118",
            "fax_number": "860-920-5216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAINE",
        "first_name": "STEPHEN",
        "middle_name": "LORD",
        "name_prefix": "Dr.",
        "credential": "L.AC., OMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-17",
        "last_updated": "2016-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "HI",
            "license": "265",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CT",
            "license": "512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northland Hearing Centers, Inc. (Hear Again Center)
• Nourished Life, LLC
• Kellee Marie O'Melia, OTR/L
• Fawn Sheryl Oldham, PT
• Optometric Specialty Group of Simsbury PLLC
• Jill Elizabeth Palmer, LCSW
• Victoria Palmisano, LMT
• Ashley Pease, OTR/L
• Peoplesdental, P.C. (Hope Family Dentistry)
• Natalie Yvonne Pesun

• Acupuncturist in Simsbury, CT
• Providers in Simsbury, CT by specialty
• Acupuncturist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; 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.