Individual provider Active NPI

Daniel J Devine, L.AC.

  • Acupuncturist
  • Capitola, CA
National Provider Identifier
1376824201
Registry record updated Sep 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
14080 Issued in CA
Practice address
4170 Gross Road Ext
Suite 6
Capitola, CA 95010-2054
Phone
(831) 464-1605
NPI assigned
Sep 6, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 14080 CA Primary

Addresses

Primary practice location

4170 Gross Road Ext
Suite 6
Capitola, CA 95010-2054

Mailing address

4170 Gross Road Ext
Suite 6
Capitola, CA 95010-2054
Phone (831) 464-1605

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

Practice roles

OrganizationSpecialtyStatusNew patients
Richard a. Bernstein, DO Inc PastSince Jun 30, 1994 Accepting new patients
Solis Acupuncture Inc. Acupuncturist Past Accepting new patients

Organizations & group practices 2

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": "1315267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315267200000",
    "number": "1376824201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4170 GROSS ROAD EXT",
            "address_2": "SUITE 6",
            "city": "CAPITOLA",
            "state": "CA",
            "postal_code": "950102054",
            "telephone_number": "831-464-1605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4170 GROSS ROAD EXT",
            "address_2": "SUITE 6",
            "city": "CAPITOLA",
            "state": "CA",
            "postal_code": "950102054",
            "telephone_number": "831-464-1605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVINE",
        "first_name": "DANIEL",
        "middle_name": "J",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-06",
        "last_updated": "2011-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "14080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Capitola, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2011; 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.