Active NPI
Sheldon R Ganberg, PH.D., L.AC.
- Acupuncturist
- South Portland, ME
National Provider Identifier
1609003672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC1
- Practice address
- 69 Angell Ave
Apt 1
South Portland, ME 04106-5002 - Phone
- (207) 221-0727
- NPI assigned
- Jun 17, 2009
- Last updated
- Jun 17, 2009
- Sex
- Male
- Sole proprietor
- No
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 | AC1 | ME | Primary |
Addresses
Primary practice location
69 Angell Ave
Apt 1
South Portland, ME 04106-5002
Mailing address
69 Angell Ave
Apt 1
South Portland, ME 04106-5002
Phone (204) 221-0727
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC1 | ME | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Sacred Living | Acupuncturist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- South Portland, ME
- NPI 1104053867
Acupuncturist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245196800000",
"number": "1609003672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "69 ANGELL AVE",
"address_2": "APT 1",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041065002",
"telephone_number": "204-221-0727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "69 ANGELL AVE",
"address_2": "APT 1",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041065002",
"telephone_number": "207-221-0727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANBERG",
"first_name": "SHELDON",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "PH.D., L.AC.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-17",
"last_updated": "2009-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "ME",
"license": "AC1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.