Active NPI
Richard V Stillo, L.AC.
- Acupuncturist
- Anthem, AZ
National Provider Identifier
1497952642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- LAC011357
- Practice address
- 3207 W Morse Dr
Anthem, AZ 85086-1658 - Phone
- (609) 240-8338
- NPI assigned
- Jun 29, 2007
- 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 | LAC011357 | AZ | Primary |
Addresses
Primary practice location
3207 W Morse Dr
Anthem, AZ 85086-1658
Mailing address
3207 W Morse Dr
Anthem, AZ 85086-1658
Phone (609) 240-8338
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25MZ00055400 | Other | NJ | ACUPUNCTURE LICENSE # |
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 |
|---|---|---|---|
| LAC011357 | AZ | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Az-Acucare LLC | Acupuncturist | Current | Accepting new patients |
Locations
243 Bridge St
Metuchen, NJ 08840
Phone (202) 913-6733
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 and National Provider Directory roles.
-
- Acupuncturist
- Anthem, AZ
- NPI 1891033015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703116800000",
"number": "1497952642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3207 W MORSE DR",
"city": "ANTHEM",
"state": "AZ",
"postal_code": "850861658",
"telephone_number": "609-240-8338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3207 W MORSE DR",
"city": "ANTHEM",
"state": "AZ",
"postal_code": "850861658",
"telephone_number": "609-240-8338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STILLO",
"first_name": "RICHARD",
"middle_name": "V",
"name_prefix": "Dr.",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-29",
"last_updated": "2023-12-21",
"certification_date": "2023-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "AZ",
"license": "LAC011357",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACUPUNCTURE LICENSE #",
"identifier": "25MZ00055400",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anthem, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.