Individual provider Active NPI

Jordan Blake Boring, L. AC.

  • Acupuncturist
  • Maryville, TN
National Provider Identifier
1477119055
Registry record updated Dec 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Practice address
2314 Tipton Loop Rd
Maryville, TN 37803-1855
Phone
(865) 296-2955
NPI assigned
May 19, 2019
Last updated
Dec 16, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X Primary

Addresses

Primary practice location

2314 Tipton Loop Rd
Maryville, TN 37803-1855

Mailing address

2314 Tipton Loop Rd
Maryville, TN 37803-1855
Phone (865) 296-2955

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

Practice roles

OrganizationSpecialtyStatusNew patients
Smoky Mountain Natural Wellness Acupuncturist CurrentSince Dec 15, 2019 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1558224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576454400000",
    "number": "1477119055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2314 TIPTON LOOP RD",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378031855",
            "telephone_number": "865-296-2955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2314 TIPTON LOOP RD",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378031855",
            "telephone_number": "865-296-2955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORING",
        "first_name": "JORDAN",
        "middle_name": "BLAKE",
        "credential": "L. AC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-19",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.