Mira Tatyana Stanchak, M.S.A.O.M.

Primary specialty

AcupuncturistTaxonomy code 171100000X

Practice address

65 Cottage St Apt 1
Watertown, MA 02472-1513

Phone

(671) 824-0746

NPI assigned

Jan 14, 2011

Last updated

Jan 14, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1294963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294963200000",
    "number": "1679878078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 COTTAGE ST APT 1",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024721513",
            "telephone_number": "671-824-0746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 COTTAGE ST APT 1",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024721513",
            "telephone_number": "671-824-0746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANCHAK",
        "first_name": "MIRA",
        "middle_name": "TATYANA",
        "credential": "M.S.A.O.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-14",
        "last_updated": "2011-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Squiccimara, MS, BCBA
• Janelle St Charles, M.A.
• Anne F St. Goar, M.D.
• George S Stamatopoulos, PT
• Lira Stamper
• Carmel Toomey Steger, LICSW
• Samantha Stein, PA-C
• Steward Medical Group, Inc
• Ashley Lynne Stiles
• Smaragthe Barbara Stitt, PHYSICAL THERAPIST

• Acupuncturist in Watertown, MA
• Providers in Watertown, MA by specialty
• Acupuncturist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2011; 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.