NPIMap

Organization Active NPI

East Coast Acupuncture & Herbs, LLC

  • Acupuncturist
  • Providence, RI
National Provider Identifier
1659510535
Registry record updated Feb 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
DA00303 Issued in RI
Legal business name
EAST COAST ACUPUNCTURE & HERBS, LLC
Practice address
111 Chestnut St
Lower Level B
Providence, RI 02903-4169
Phone
(401) 437-6633
Fax
(401) 654-6650
NPI assigned
Feb 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2009

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

Authorized official

Name
Matthew Maneggia, D.A.
Title
Co-Owner
Phone
(401) 437-6633

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X DA00303 RI Primary

Addresses

Primary practice location

111 Chestnut St
Lower Level B
Providence, RI 02903-4169

Mailing address

111 Chestnut St
Lower Level B
Providence, RI 02903-4169
Phone (401) 437-6633

National Provider Directory

National Provider Directory

Locations

111 Chestnut St
Lowr
Providence, RI 02903
Phone (401) 368-5940

NPI Registry JSON

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

{
    "created_epoch": "1234828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234828800000",
    "number": "1659510535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 CHESTNUT ST",
            "address_2": "LOWER LEVEL B",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034169",
            "telephone_number": "401-437-6633",
            "fax_number": "401-654-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CHESTNUT ST",
            "address_2": "LOWER LEVEL B",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034169",
            "telephone_number": "401-437-6633",
            "fax_number": "401-654-6650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST COAST ACUPUNCTURE & HERBS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-17",
        "last_updated": "2009-02-17",
        "status": "A",
        "authorized_official_last_name": "MANEGGIA",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "401-437-6633",
        "authorized_official_credential": "D.A."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "RI",
            "license": "DA00303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

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

Verify at the official NPI Registry.