Active NPI
Nicholas M Dore, PH.D
- Acupuncturist
- Sulphur Rock, AR
National Provider Identifier
1659963890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- L.AC.023
- Practice address
- 15 Gabriel Way
Sulphur Rock, AR 72579-9012 - Phone
- (870) 656-8646
- NPI assigned
- Feb 9, 2021
- Last updated
- Feb 9, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 | L.AC.023 | AR | Primary |
Addresses
Primary practice location
15 Gabriel Way
Sulphur Rock, AR 72579-9012
Mailing address
15 Gabriel Way
Sulphur Rock, AR 72579-9012
Phone (870) 656-8646
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 |
|---|---|---|---|
| L.AC.023 | AR | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612828800000",
"number": "1659963890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 GABRIEL WAY",
"city": "SULPHUR ROCK",
"state": "AR",
"postal_code": "725799012",
"telephone_number": "870-656-8646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 GABRIEL WAY",
"city": "SULPHUR ROCK",
"state": "AR",
"postal_code": "725799012",
"telephone_number": "870-656-8646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORE",
"first_name": "NICHOLAS",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PH.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-02-09",
"last_updated": "2021-02-09",
"certification_date": "2021-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "AR",
"license": "L.AC.023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sulphur Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.