Individual provider Active NPI

Jeffery Dean Kuykendall, L.M.T.

  • Specialist
  • Washington, DC
National Provider Identifier
1326465634
Registry record updated Mar 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MT0982 Issued in DC
Practice address
1410 9TH St NW Ste 1
Washington, DC 20001-3361
Phone
(202) 408-4858
Fax
(202) 408-4857
NPI assigned
Mar 25, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Reflexologist 173C00000X MT0982 DC
Specialist 174400000X MT0982 DC Primary

Addresses

Primary practice location

1410 9TH St NW Ste 1
Washington, DC 20001-3361

Mailing address

1410 9TH St NW Ste 1
Washington, DC 20001-3361
Phone (202) 408-4858

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
MT0982DCMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Pekoe Acupuncture and Wellness Center, PLLC 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1395705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395705600000",
    "number": "1326465634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 9TH ST NW STE 1",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200013361",
            "telephone_number": "202-408-4858",
            "fax_number": "202-408-4857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 9TH ST NW STE 1",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200013361",
            "telephone_number": "202-408-4858",
            "fax_number": "202-408-4857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUYKENDALL",
        "first_name": "JEFFERY",
        "middle_name": "DEAN",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-25",
        "last_updated": "2014-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173C00000X",
            "taxonomy_group": "",
            "desc": "Reflexologist",
            "state": "DC",
            "license": "MT0982",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "DC",
            "license": "MT0982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; 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.