Active NPI
Michael H Short, LIC. AC.
- Acupuncturist
- Newton Center, MA
National Provider Identifier
1659430197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 208710
- Practice address
- 72 Langley Rd
Suite 23
Newton Center, MA 02459-1960 - Phone
- (617) 817-6640
- NPI assigned
- Dec 8, 2006
- 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 | 208710 | MA | Primary |
Addresses
Primary practice location
72 Langley Rd
Suite 23
Newton Center, MA 02459-1960
Mailing address
120 Franklin St
Apartment #1
Brookline, MA 02445-6702
Phone (617) 817-6640
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 208710 | MA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659430197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 FRANKLIN ST",
"address_2": "APARTMENT #1",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024456702",
"telephone_number": "617-817-6640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "72 LANGLEY RD",
"address_2": "SUITE 23",
"city": "NEWTON CENTER",
"state": "MA",
"postal_code": "024591960",
"telephone_number": "617-817-6640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHORT",
"first_name": "MICHAEL",
"middle_name": "H",
"credential": "LIC. AC.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MA",
"license": "208710",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newton Center, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.