Active NPI
Clint Cain, LOM
- Acupuncturist
- Perrysburg, OH
National Provider Identifier
1689108565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 66.000045
- Practice address
- 801 W South Boundary St Ste B
Perrysburg, OH 43551-5264 - Phone
- (618) 694-5189
- NPI assigned
- Apr 17, 2017
- 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 | 66.000045 | OH | Primary |
Addresses
Primary practice location
801 W South Boundary St Ste B
Perrysburg, OH 43551-5264
Mailing address
3359 Bayberry LN
Johnstown, CO 80534-9118
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 |
|---|---|---|---|
| 66.000045 | OH | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578441600000",
"number": "1689108565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3359 BAYBERRY LN",
"city": "JOHNSTOWN",
"state": "CO",
"postal_code": "805349118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 W SOUTH BOUNDARY ST STE B",
"city": "PERRYSBURG",
"state": "OH",
"postal_code": "435515264",
"telephone_number": "618-694-5189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAIN",
"first_name": "CLINT",
"credential": "LOM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-04-17",
"last_updated": "2020-01-08",
"certification_date": "2020-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "OH",
"license": "66.000045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Perrysburg, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.