Sean Dugan, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

ACU354 Issued in ID

Practice address

6540 W Emerald St Ste 100
Boise, ID 83704-8782

Phone

(208) 953-7690

NPI assigned

May 3, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1525305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588291200000",
    "number": "1669961868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4777 N WATERFRONT WAY",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837032772",
            "telephone_number": "208-953-7690",
            "fax_number": "208-953-7690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6540 W EMERALD ST STE 100",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048782",
            "telephone_number": "208-953-7690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUGAN",
        "first_name": "SEAN",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-03",
        "last_updated": "2020-05-01",
        "certification_date": "2020-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "IA",
            "license": "A105",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "ID",
            "license": "ACU354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Dahl Dudley, D.C.
• Jessica Layla Duer, DPT
• Robert L Duerr, MD
• Irene Duffy, LCSW
• Kathleen J Duffy, PA-C
• Zachary Dugdale
• Catharine Paisley Duggan
• Joshua Scott Dugger, LPC
• Andrea K Dughoff, PH.D.
• Catherine Elizabeth Duke, P.T.

• Acupuncturist in Boise, ID
• Providers in Boise, ID by specialty
• Acupuncturist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2020; 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.