Michael Pomeroy, LAC

Key facts

NPI

1619253481

Entity type

Individual (NPI type 1)

Primary specialty

Acupuncturist 171100000X

License

000516 (CT)

Practice address

355 New Britain Rd
Kensington, CT 06037-1318

Phone

(860) 829-0707

NPI assigned

Oct 25, 2011

Sex

Male

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 25, 2011.

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319500800000",
    "number": "1619253481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 NEW BRITAIN RD",
            "city": "KENSINGTON",
            "state": "CT",
            "postal_code": "060371318",
            "telephone_number": "860-829-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 NEW BRITAIN RD",
            "city": "KENSINGTON",
            "state": "CT",
            "postal_code": "060371318",
            "telephone_number": "860-829-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POMEROY",
        "first_name": "MICHAEL",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-25",
        "last_updated": "2011-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CT",
            "license": "000516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Kensington, CT · Acupuncturist in Connecticut