Dragon Well Acupuncture and Herbal Medicine, LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

594 Issued in CT

Legal business name

DRAGON WELL ACUPUNCTURE AND HERBAL MEDICINE, LLC

Practice address

36 Church St
36A
Putnam, CT 06260-1866

Phone

(860) 481-3770

NPI assigned

Jan 5, 2016

Last updated

Jan 5, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Medora Kay Fraga, MAOM

Title

Sole Proprietor/ Acupuncturist

Phone

(860) 420-8855

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1451952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451952000000",
    "number": "1487010526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 POLE BRIDGE RD",
            "city": "WOODSTOCK",
            "state": "CT",
            "postal_code": "062811202",
            "telephone_number": "860-420-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 CHURCH ST",
            "address_2": "36A",
            "city": "PUTNAM",
            "state": "CT",
            "postal_code": "062601866",
            "telephone_number": "860-481-3770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRAGON WELL ACUPUNCTURE AND HERBAL MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-05",
        "last_updated": "2016-01-05",
        "status": "A",
        "authorized_official_last_name": "FRAGA",
        "authorized_official_first_name": "MEDORA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "SOLE PROPRIETOR/ ACUPUNCTURIST",
        "authorized_official_telephone_number": "860-420-8855",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MAOM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CT",
            "license": "594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trong Quoc DO, PA-C
• Kylie Donahue
• Jodi L Donato, RN
• Lisa A Donovan
• Laura J Douglas
• Eleanor Driscoll
• DRS. Manzoli & Russo, PC (Central New England Endodontics & Implantology)
• Donna Marie Duffy, PT
• Matthew J Dumas, PT
• Kerri A Durdan

• Acupuncturist in Putnam, CT
• Providers in Putnam, CT by specialty
• Acupuncturist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; 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.