Individual provider Active NPI

Jan Preston Dunn, LAC OMD DIPL AC

  • Acupuncturist
  • Woodland Hills, CA
National Provider Identifier
1508824020
Registry record updated Dec 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC2707 Issued in CA
Practice address
22471 Sueno Rd
Woodland Hills, CA 91364-2900
Phone
(818) 222-5636
NPI assigned
May 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 570 CO
Acupuncturist 171100000X AC2707 CA Primary

Addresses

Primary practice location

22471 Sueno Rd
Woodland Hills, CA 91364-2900

Mailing address

6117 Laurelgrove Ave
N Hollywood, CA 91606-4618
Phone (818) 762-1739

Other names 1

  • Ms. Jan Carole Preston Other name

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

LicenseStateTypeSpecialty
AC2707CAMDAcupuncturist
570COMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Judy F Lane, D.C. Past Accepting new patients
Park Center for Health Acupuncturist PastSince Feb 1, 2008 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355788800000",
    "number": "1508824020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6117 LAURELGROVE AVE",
            "city": "N HOLLYWOOD",
            "state": "CA",
            "postal_code": "916064618",
            "telephone_number": "818-762-1739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22471 SUENO RD",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642900",
            "telephone_number": "818-222-5636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNN",
        "first_name": "JAN",
        "middle_name": "PRESTON",
        "name_prefix": "Ms.",
        "credential": "LAC OMD DIPL AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2012-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "570",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC2707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAN",
            "last_name": "PRESTON",
            "middle_name": "CAROLE",
            "prefix": "MS.",
            "credential": "LAC OMD DIPL AC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; 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.