Individual provider Active NPI

Matthew Reed, L.AC.

  • Acupuncturist
  • North Syracuse, NY
National Provider Identifier
1396280665
Registry record updated Dec 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
5729 Issued in NY
Practice address
442 S Bay Rd
Suite B
North Syracuse, NY 13212-3625
Phone
(315) 935-5700
Fax
(315) 295-2670
NPI assigned
Dec 22, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 5729 NY Primary

Addresses

Primary practice location

442 S Bay Rd
Suite B
North Syracuse, NY 13212-3625

Mailing address

442 S Bay Rd
Suite B
North Syracuse, NY 13212-3625
Phone (315) 935-5700

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
5729NYMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1482364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482364800000",
    "number": "1396280665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "442 S BAY RD",
            "address_2": "SUITE B",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132123625",
            "telephone_number": "315-935-5700",
            "fax_number": "315-295-2670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "442 S BAY RD",
            "address_2": "SUITE B",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132123625",
            "telephone_number": "315-935-5700",
            "fax_number": "315-295-2670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "MATTHEW",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-12-22",
        "last_updated": "2016-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "5729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2016; 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.