Dale Edward Fanning, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC 15988 Issued in CA

Practice address

1700 Shattuck Ave
Berkeley, CA 94709-3402

Phone

(510) 847-9706

Fax

(888) 522-6692

NPI assigned

May 26, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1401062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401062400000",
    "number": "1588076525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1436 BLAKE ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947022104",
            "telephone_number": "206-979-4510",
            "fax_number": "888-522-6692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 SHATTUCK AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947093402",
            "telephone_number": "510-847-9706",
            "fax_number": "888-522-6692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANNING",
        "first_name": "DALE",
        "middle_name": "EDWARD",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-26",
        "last_updated": "2014-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 15988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Farshid Farrahi, M.D.
• Maire Farrington, M.F.T.
• Emily Farwig, L.AC.
• Elayne Marye Faucett-Maples, NP

• Acupuncturist in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2014; 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.