Individual provider Active NPI

Felice Indindoli, D.AC., L.AC, NCCAOM

  • Acupuncturist
  • Concord, MA
National Provider Identifier
1376919407
Registry record updated Feb 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
266502 Issued in MA
Practice address
105 Authors Rd
Concord, MA 01742-2606
Phone
(857) 272-0630
NPI assigned
Aug 12, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X MA
Acupuncturist 171100000X 266502 MA Primary

Addresses

Primary practice location

105 Authors Rd
Concord, MA 01742-2606

Mailing address

105 Authors Rd
Concord, MA 01742-2606
Phone (857) 282-0630

Other practice location 1

19 Winchester St
Apt 502
Brookline, MA 02446-2738
Phone (857) 272-0630

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
266502MAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1439337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549497600000",
    "number": "1376919407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 AUTHORS RD",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422606",
            "telephone_number": "857-282-0630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 AUTHORS RD",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422606",
            "telephone_number": "857-272-0630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19 Winchester St",
            "address_2": "APT 502",
            "address_purpose": "LOCATION",
            "city": "Brookline",
            "state": "MA",
            "postal_code": "024462738",
            "country_code": "US",
            "telephone_number": "857-272-0630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "INDINDOLI",
        "first_name": "FELICE",
        "credential": "D.AC., L.AC, NCCAOM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-12",
        "last_updated": "2019-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MA",
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MA",
            "license": "266502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2019; 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.