Active NPI
Spencer Prescott Greene, M.S. TCM
- Acupuncturist
- Fairfield, CT
National Provider Identifier
1316465594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 699
- Practice address
- 825 Kings Hwy E
Fairfield, CT 06825-5419 - Phone
- (203) 802-5453
- NPI assigned
- Sep 7, 2017
- Last updated
- Sep 7, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 699 | CT | Primary |
Addresses
Primary practice location
825 Kings Hwy E
Fairfield, CT 06825-5419
Mailing address
3919 Park Ave
Fairfield, CT 06825-1254
Phone (201) 638-6338
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 699 | CT | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellness in Motion Boston | Acupuncturist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504742400000",
"number": "1316465594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3919 PARK AVE",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068251254",
"telephone_number": "201-638-6338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 KINGS HWY E",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068255419",
"telephone_number": "203-802-5453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENE",
"first_name": "SPENCER",
"middle_name": "PRESCOTT",
"name_prefix": "Mr.",
"credential": "M.S. TCM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-09-07",
"last_updated": "2017-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CT",
"license": "699",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.