Active NPI
Jacques Robert Depardieu, MSOM, LAC
- Acupuncturist
- Darien, CT
National Provider Identifier
1477316610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 000159
- Practice address
- 6 Thorndal Cir
Darien, CT 06820-5415 - Phone
- (203) 656-2000
- Fax
- (203) 656-1900
- NPI assigned
- Jan 31, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 000159 | CT | Primary |
Addresses
Primary practice location
6 Thorndal Cir
Darien, CT 06820-5415
Mailing address
6 Thorndal Cir
Darien, CT 06820-5415
Phone (203) 656-2000
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 |
|---|---|---|---|
| 000159 | CT | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706659200000",
"number": "1477316610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 THORNDAL CIR",
"city": "DARIEN",
"state": "CT",
"postal_code": "068205415",
"telephone_number": "203-656-2000",
"fax_number": "203-656-1900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 THORNDAL CIR",
"city": "DARIEN",
"state": "CT",
"postal_code": "068205415",
"telephone_number": "203-656-2000",
"fax_number": "203-656-1900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEPARDIEU",
"first_name": "JACQUES",
"middle_name": "ROBERT",
"credential": "MSOM, LAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-01-31",
"last_updated": "2024-01-31",
"certification_date": "2024-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CT",
"license": "000159",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Darien, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.