NPIMap

Organization Active NPI

Kpdi Acupuncture, PLLC

  • Acupuncturist
  • Alexandria, VA
National Provider Identifier
1487340881
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
KPDI ACUPUNCTURE, PLLC
Doing business as
Alleva Acupuncture
Practice address
714 N Jordan St Apt 301
Alexandria, VA 22304-6843
Phone
(503) 380-1021
NPI assigned
Apr 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Authorized official

Name
Mr. Damon Edward Iacovelli, L.AC.NPI 1083903363
Title
Chief Financial Officer
Phone
(503) 380-1021

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

714 N Jordan St Apt 301
Alexandria, VA 22304-6843

Mailing address

5145 Duke Street
Suite D, Box 101
Alexandria, VA 22304
Phone (503) 380-1021

Other names 1

  • Alleva Acupuncture Doing business as

National Provider Directory

National Provider Directory

Locations

5145 Duke St
Ste D
Alexandria, VA 22304

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681776000000",
    "number": "1487340881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5145 DUKE STREET",
            "address_2": "SUITE D, BOX 101",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "22304",
            "telephone_number": "503-380-1021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 N JORDAN ST APT 301",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223046843",
            "telephone_number": "503-380-1021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KPDI ACUPUNCTURE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-17",
        "status": "A",
        "authorized_official_last_name": "IACOVELLI",
        "authorized_official_first_name": "DAMON",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "503-380-1021",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alleva Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; 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.