Individual provider Active NPI

Aileen Z Montour, LIC. AC.

  • Acupuncturist
  • Roslindale, MA
National Provider Identifier
1295905164
Registry record updated Mar 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
446 Issued in MA
Practice address
16 Liszt St
Roslindale, MA 02131-4016
Phone
(617) 325-4075
NPI assigned
Mar 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 446 MA Primary

Addresses

Primary practice location

16 Liszt St
Roslindale, MA 02131-4016

Mailing address

16 Liszt St
Roslindale, MA 02131-4016
Phone (617) 325-4075

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
446MAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204848000000",
    "number": "1295905164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 LISZT ST",
            "city": "ROSLINDALE",
            "state": "MA",
            "postal_code": "021314016",
            "telephone_number": "617-325-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 LISZT ST",
            "city": "ROSLINDALE",
            "state": "MA",
            "postal_code": "021314016",
            "telephone_number": "617-325-4075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTOUR",
        "first_name": "AILEEN",
        "middle_name": "Z",
        "credential": "LIC. AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-07",
        "last_updated": "2008-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MA",
            "license": "446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roslindale, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; 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.