Individual provider Active NPI

Fidel Goytia, LAC.

  • Acupuncturist
  • Durham, NC
National Provider Identifier
1306617618
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
LAC-2209 Issued in NC
Practice address
3207 Old Chapel Hill Rd
Durham, NC 27707-3605
Phone
(919) 286-9595
NPI assigned
Jan 15, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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-2209 NC Primary

Addresses

Primary practice location

3207 Old Chapel Hill Rd
Durham, NC 27707-3605

Mailing address

4 Duck Pond CT
Durham, NC 27703-6096
Phone (915) 443-4408

Other practice location 1

907 Broad St
Durham, NC 27705-4141
Phone (919) 286-9595

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-2209NCMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1306617618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 DUCK POND CT",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277036096",
            "telephone_number": "915-443-4408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3207 OLD CHAPEL HILL RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277073605",
            "telephone_number": "919-286-9595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "907 Broad St",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277054141",
            "country_code": "US",
            "telephone_number": "919-286-9595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOYTIA",
        "first_name": "FIDEL",
        "credential": "LAC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NC",
            "license": "LAC-2209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; 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.