Active NPI
Clinton William Bartok, L.AC, DIPL.OM
- Acupuncturist
- Raleigh, NC
National Provider Identifier
1477784965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 456
- Practice address
- 4822 Six Forks Rd
#202
Raleigh, NC 27609-5269 - Phone
- (919) 788-1568
- NPI assigned
- Jul 31, 2009
- Last updated
- Jul 31, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 | 456 | NC | Primary |
Addresses
Primary practice location
4822 Six Forks Rd
#202
Raleigh, NC 27609-5269
Mailing address
4822 Six Forks Rd
#202
Raleigh, NC 27609-5269
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 |
|---|---|---|---|
| 456 | NC | MD | Electroneurodiagnostic Specialist/Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Remedy Clinic, Inc. | Acupuncturist | Past | 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.
-
- Acupuncturist
- Raleigh, NC
- NPI 1396023073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248998400000",
"number": "1477784965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4822 SIX FORKS RD",
"address_2": "#202",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276095269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4822 SIX FORKS RD",
"address_2": "#202",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276095269",
"telephone_number": "919-788-1568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARTOK",
"first_name": "CLINTON",
"middle_name": "WILLIAM",
"name_prefix": "Mr.",
"credential": "L.AC, DIPL.OM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-07-31",
"last_updated": "2009-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NC",
"license": "456",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.