Individual provider Active NPI

Ernest Constantine Esteban

  • Acupuncturist
  • Tempe, AZ
National Provider Identifier
1366038465
Registry record updated Dec 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
000134 Issued in AZ
Practice address
5235 S Kyrene Rd Ste 105-264
Tempe, AZ 85283-1779
Phone
(480) 466-7473
NPI assigned
Dec 14, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 000134 AZ Primary

Addresses

Primary practice location

5235 S Kyrene Rd Ste 105-264
Tempe, AZ 85283-1779

Mailing address

925 W Baseline Rd Ste 105-264
Tempe, AZ 85283-1100
Phone (623) 203-9737

Other identifiers 1

IdentifierTypeStateIssuer
000134OtherAZACUPUNCTURE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Tempe Direct

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
000134AZMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1607904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607904000000",
    "number": "1366038465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 W BASELINE RD STE 105-264",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831100",
            "telephone_number": "623-203-9737",
            "fax_number": "480-945-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5235 S KYRENE RD STE 105-264",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831779",
            "telephone_number": "480-466-7473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTEBAN",
        "first_name": "ERNEST",
        "middle_name": "CONSTANTINE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-14",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "AZ",
            "license": "000134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURE LICENSE",
            "identifier": "000134",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Tempe",
            "affiliation": "N",
            "endpointDescription": "contact@parahealthprofeesionals.info",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Tempe",
            "address_1": "5235 S Kyrene Rd Ste 105-264",
            "city": "Tempe",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852831779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2020; 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.