Candace Jo Eck, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

1795 Issued in MN

Practice address

61 Main St S
New London, MN 56273-5005

Phone

(651) 276-2284

NPI assigned

Apr 14, 2020

Sex

Female

Sole proprietor

Yes

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, last updated by the provider on Apr 14, 2020.

{
    "created_epoch": "1586822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586822400000",
    "number": "1689293185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25597 EASTERN AVE",
            "city": "BROOTEN",
            "state": "MN",
            "postal_code": "563164710",
            "telephone_number": "651-276-2284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 MAIN ST S",
            "city": "NEW LONDON",
            "state": "MN",
            "postal_code": "562735005",
            "telephone_number": "651-276-2284"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "542 Snelling Ave S Ste 200",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551161579",
            "country_code": "US",
            "telephone_number": "651-276-2284",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "174 Lake Ave N",
            "address_purpose": "LOCATION",
            "city": "Spicer",
            "state": "MN",
            "postal_code": "562882600",
            "country_code": "US",
            "telephone_number": "651-276-2284",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ECK",
        "first_name": "CANDACE",
        "middle_name": "JO",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-14",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MN",
            "license": "1795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in New London, MN
• Acupuncturist in Minnesota

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