Organization Active NPI

Firelight Acupuncture LLC

  • Acupuncturist
  • Cambridge, MA
National Provider Identifier
1346056173
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
FIRELIGHT ACUPUNCTURE LLC
Practice address
84 Sherman St
Cambridge, MA 02140-3261
Phone
(207) 838-7010
NPI assigned
Dec 6, 2024
Last updated
Dec 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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

Authorized official

Name
Ian Potter Gamble, LAC, MAC, MS, MANPI 1457864050
Title
Owner
Phone
(207) 838-7010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X NU Primary

Addresses

Primary practice location

84 Sherman St
Cambridge, MA 02140-3261

Mailing address

17 Gerry St
Cambridge, MA 02138-5745
Phone (207) 838-7010

National Provider Directory

National Provider Directory

Locations

84 Sherman St
Cambridge, MA 02140
Phone (207) 838-7010

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1733443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733443200000",
    "number": "1346056173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 GERRY ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021385745",
            "telephone_number": "207-838-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 SHERMAN ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021403261",
            "telephone_number": "207-838-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRELIGHT ACUPUNCTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-06",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A",
        "authorized_official_last_name": "GAMBLE",
        "authorized_official_first_name": "IAN",
        "authorized_official_middle_name": "POTTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-838-7010",
        "authorized_official_credential": "LAC, MAC, MS, MA"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.