Individual provider Active NPI

Damien Donovan, DACM

  • Acupuncturist
  • Longs, SC
National Provider Identifier
1366283822
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
417 Issued in SC
Practice address
2740 Grande Dunes N Village Blvd
Unit 8308
Longs, SC 29568
Phone
(836) 282-1833
NPI assigned
Jun 6, 2024
Last updated
Sep 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 417 SC Primary
Acupuncturist 171100000X 2222 NC
Massage Therapist 225700000X 13596 SC

Addresses

Primary practice location

2740 Grande Dunes N Village Blvd
Unit 8308
Longs, SC 29568

Mailing address

2740 Grande Dunes N Village Blvd
Unit 8308
Longs, SC 29568
Phone (836) 282-1833

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
2222NCMDAcupuncturist
13596SCMDPharmacist
417SCMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1717632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1366283822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 GRANDE DUNES N VILLAGE BLVD",
            "address_2": "UNIT 8308",
            "city": "LONGS",
            "state": "SC",
            "postal_code": "29568",
            "telephone_number": "836-282-1833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 GRANDE DUNES N VILLAGE BLVD",
            "address_2": "UNIT 8308",
            "city": "LONGS",
            "state": "SC",
            "postal_code": "29568",
            "telephone_number": "836-282-1833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOVAN",
        "first_name": "DAMIEN",
        "credential": "DACM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-06",
        "last_updated": "2026-09-17",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "SC",
            "license": "417",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NC",
            "license": "2222",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "SC",
            "license": "13596",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longs, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; 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.