Active NPI
Susan Davis, L.AC.
- Acupuncturist
- Washington, DC
National Provider Identifier
1396920815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC24
- Practice address
- 4600 Connecticut Ave NW Ste 223
Washington, DC 20008-5702 - Phone
- (202) 244-8824
- NPI assigned
- Jan 3, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC24 | DC | Primary |
| Acupuncturist | 171100000X | U284 | MD |
Addresses
Primary practice location
4600 Connecticut Ave NW Ste 223
Washington, DC 20008-5702
Mailing address
7106 Woodland Ave
Takoma Park, MD 20912-4565
Phone (301) 275-0165
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
| License | State | Type | Specialty |
|---|---|---|---|
| AC24 | DC | MD | Acupuncturist |
| U284 | MD | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199318400000",
"number": "1396920815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7106 WOODLAND AVE",
"city": "TAKOMA PARK",
"state": "MD",
"postal_code": "209124565",
"telephone_number": "301-275-0165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 CONNECTICUT AVE NW STE 223",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200085702",
"telephone_number": "202-244-8824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "SUSAN",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-03",
"last_updated": "2008-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "DC",
"license": "AC24",
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MD",
"license": "U284",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.