Individual provider Active NPI

Elaine M Eliopoulos, LIC. AC.

  • Acupuncturist
  • Weston, MA
National Provider Identifier
1386802791
Registry record updated Jun 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
667 Issued in MA
Practice address
475 Conant Rd
Weston, MA 02493-1830
Phone
(978) 973-7866
Fax
(781) 647-8341
NPI assigned
Jun 2, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 667 MA Primary

Addresses

Primary practice location

475 Conant Rd
Weston, MA 02493-1830

Mailing address

70 Boston Post Rd # R
Wayland, MA 01778-2422
Phone (978) 973-7866

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
667MAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212364800000",
    "number": "1386802791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 BOSTON POST RD # R",
            "city": "WAYLAND",
            "state": "MA",
            "postal_code": "017782422",
            "telephone_number": "978-973-7866",
            "fax_number": "781-647-8341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 CONANT RD",
            "city": "WESTON",
            "state": "MA",
            "postal_code": "024931830",
            "telephone_number": "978-973-7866",
            "fax_number": "781-647-8341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIOPOULOS",
        "first_name": "ELAINE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LIC. AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-02",
        "last_updated": "2008-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MA",
            "license": "667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; 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.