Individual provider Active NPI

Vitaly Napadow, PHD, LICAC

  • Acupuncturist
  • Chestnut Hill, MA
National Provider Identifier
1467764621
Registry record updated Jul 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
215266 Issued in MA
Practice address
850 Boylston St
Chestnut Hill, MA 02467-2477
Phone
(617) 732-9060
NPI assigned
Jul 5, 2010
Last updated
Jul 5, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 215266 MA Primary

Addresses

Primary practice location

850 Boylston St
Chestnut Hill, MA 02467-2477

Mailing address

1 Appalachian Rd
Winchester, MA 01890-1405

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
215266MAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1278288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278288000000",
    "number": "1467764621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 APPALACHIAN RD",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018901405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 BOYLSTON ST",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024672477",
            "telephone_number": "617-732-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAPADOW",
        "first_name": "VITALY",
        "name_prefix": "Dr.",
        "credential": "PHD, LICAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-05",
        "last_updated": "2010-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MA",
            "license": "215266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chestnut Hill, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2010; 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.