Individual provider Active NPI

Evan Alan Marcus, AP

  • Acupuncturist
  • Beckley, WV
National Provider Identifier
1669907952
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP3743 Issued in FL
Practice address
21 Mallard CT
Beckley, WV 25801-3615
Phone
(304) 890-8020
Fax
(681) 207-7029
NPI assigned
Apr 25, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AP 3743 ZZ
Acupuncturist 171100000X AP3743 FL Primary
Acupuncturist 171100000X 96268 WV

Addresses

Primary practice location

21 Mallard CT
Beckley, WV 25801-3615

Mailing address

21 Mallard CT
Beckley, WV 25801-3615
Phone (304) 890-8020

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

LicenseStateTypeSpecialty
AP3743FLMDAcupuncturist
96268WVMDAcupuncturist
AP 3743ZZMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
On Point Acupuncture, PLLC Acupuncturist CurrentSince Aug 25, 2025 Accepting new patients
Derun Clinic Past Accepting new patients

Locations

21 Mallard Ct
Beckley, WV 25801
Phone (304) 890-8020

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1493078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1669907952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 MALLARD CT",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013615",
            "telephone_number": "304-890-8020",
            "fax_number": "681-207-7029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 MALLARD CT",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013615",
            "telephone_number": "304-890-8020",
            "fax_number": "681-207-7029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCUS",
        "first_name": "EVAN",
        "middle_name": "ALAN",
        "credential": "AP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-25",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "ZZ",
            "license": "AP 3743",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP3743",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WV",
            "license": "96268",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; 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.