Individual provider Active NPI

Yuri Shkuratov

  • Acupuncturist
  • Newton Centre, MA
National Provider Identifier
1295891778
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
214620 Issued in MA
Practice address
53 Langley Rd
Suite 200
Newton Centre, MA 02459-1913
Phone
(617) 939-4521
NPI assigned
Dec 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 214620 MA Primary

Addresses

Primary practice location

53 Langley Rd
Suite 200
Newton Centre, MA 02459-1913

Mailing address

491 Hartford St
Westwood, MA 02090-2721
Phone (781) 326-5161

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
214620MAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295891778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 HARTFORD ST",
            "city": "WESTWOOD",
            "state": "MA",
            "postal_code": "020902721",
            "telephone_number": "781-326-5161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 LANGLEY RD",
            "address_2": "SUITE 200",
            "city": "NEWTON CENTRE",
            "state": "MA",
            "postal_code": "024591913",
            "telephone_number": "617-939-4521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHKURATOV",
        "first_name": "YURI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MA",
            "license": "214620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton Centre, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.