Dawn Elizabeth Ristau, LA.C

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

004976-1 Issued in NY

Practice address

278 N Atlanta Ave
Massapequa, NY 11758-2011

Phone

(516) 586-4364

Fax

(516) 586-4364

NPI assigned

Feb 2, 2013

Sex

Female

Sole proprietor

No

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

Practice roles

Locations

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.

• Silver Secrets

  • Acupuncturist
  • N Massapequa, NY
  • NPI 1528755626
  NPD Authorized official
• Silverpoint Secrets LLC

  • Acupuncturist
  • Massapequa, NY
  • NPI 1730907189
  NPD Authorized official

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

{
    "created_epoch": "1359763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359763200000",
    "number": "1629317292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "278 N ATLANTA AVE",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117582011",
            "telephone_number": "516-586-4364",
            "fax_number": "516-586-4364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "278 N ATLANTA AVE",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117582011",
            "telephone_number": "516-586-4364",
            "fax_number": "516-586-4364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISTAU",
        "first_name": "DAWN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "LA.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-02",
        "last_updated": "2013-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "004976-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Massapequa, NY
• Providers in Massapequa, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2013; 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.