Individual provider Active NPI

Enrique Pablo Gochicoa, M.AC, L.AC

  • Acupuncturist
  • Takoma Park, MD
National Provider Identifier
1376880724
Registry record updated Jul 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
U02026 Issued in MD
Practice address
6935 Laurel Ave
Suite 203
Takoma Park, MD 20912-4413
Phone
(202) 731-7203
NPI assigned
Jan 4, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X U02026 MD Primary

Addresses

Primary practice location

6935 Laurel Ave
Suite 203
Takoma Park, MD 20912-4413

Mailing address

4520 Salem LN NW
Washington, DC 20007-1919
Phone (202) 338-0028

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
U02026MDMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1357257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438041600000",
    "number": "1376880724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4520 SALEM LN NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200071919",
            "telephone_number": "202-338-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6935 LAUREL AVE",
            "address_2": "SUITE 203",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209124413",
            "telephone_number": "202-731-7203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOCHICOA",
        "first_name": "ENRIQUE",
        "middle_name": "PABLO",
        "credential": "M.AC, L.AC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-04",
        "last_updated": "2015-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U02026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Takoma Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; 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.