Active NPI
Masahiro Ichikawa
- Acupuncturist
- Watertown, MA
National Provider Identifier
1669676284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 220798
- Practice address
- 25 Church St
#4
Watertown, MA 02472-3855 - Phone
- (617) 926-6986
- NPI assigned
- Jun 14, 2007
- 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 | 220798 | MA | Primary |
Addresses
Primary practice location
25 Church St
#4
Watertown, MA 02472-3855
Mailing address
9 B St
1St Floor
Belmont, MA 02478-1903
Phone (617) 484-8878
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 |
|---|---|---|---|
| 220798 | MA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669676284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 B ST",
"address_2": "1ST FLOOR",
"city": "BELMONT",
"state": "MA",
"postal_code": "024781903",
"telephone_number": "617-484-8878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 CHURCH ST",
"address_2": "#4",
"city": "WATERTOWN",
"state": "MA",
"postal_code": "024723855",
"telephone_number": "617-926-6986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ICHIKAWA",
"first_name": "MASAHIRO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MA",
"license": "220798",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Watertown, 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.