NPIMap

Organization Active NPI

Vineyard Complementary Medicine Inc.

  • Acupuncturist
  • Edgartown, MA
National Provider Identifier
1598238792
Registry record updated Feb 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
VINEYARD COMPLEMENTARY MEDICINE INC.
Practice address
238 Edgartown Vineyard Haven Road
Unit 1
Edgartown, MA 02539-6932
Phone
(508) 693-3800
Fax
(508) 693-7473
NPI assigned
Jan 10, 2019
Last updated
Feb 4, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2020

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

Authorized official

Name
Susan Sanford, PT, LIC. ACNPI 1104905934
Title
President
Phone
(508) 693-3800

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

238 Edgartown Vineyard Haven Road
Unit 1
Edgartown, MA 02539-6932

Mailing address

PO Box 1760
Edgartown, MA 02539-1760
Phone (508) 693-3800

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Efax5087497424 Health Information Exchange (HIE)

National Provider Directory

National Provider Directory
Tax ID family
Vineyard Complementary Medicine Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1547078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580774400000",
    "number": "1598238792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1760",
            "city": "EDGARTOWN",
            "state": "MA",
            "postal_code": "025391760",
            "telephone_number": "508-693-3800",
            "fax_number": "508-693-7473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 EDGARTOWN VINEYARD HAVEN ROAD",
            "address_2": "UNIT 1",
            "city": "EDGARTOWN",
            "state": "MA",
            "postal_code": "025396932",
            "telephone_number": "508-693-3800",
            "fax_number": "508-693-7473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINEYARD COMPLEMENTARY MEDICINE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-10",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A",
        "authorized_official_last_name": "SANFORD",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-693-3800",
        "authorized_official_credential": "PT, LIC. AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Efax5087497424",
            "affiliation": "N",
            "endpointDescription": "efax",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Fax",
            "address_1": "238 Edgartown Vineyard Haven Road",
            "address_2": "Unit 1",
            "city": "Edgartown",
            "state": "MA",
            "country_code": "US",
            "postal_code": "025396932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Edgartown, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2020; 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.