Individual provider Active NPI

Brian S Whidden, LIC. AC.

  • Acupuncturist
  • Kingston, MA
National Provider Identifier
1689741324
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
485 Issued in MA
Practice address
126 Brookdale St
Kingston, MA 02364-1128
Phone
(781) 585-1899
NPI assigned
Nov 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 485 MA Primary

Addresses

Primary practice location

126 Brookdale St
Kingston, MA 02364-1128

Mailing address

126 Brookdale St
Kingston, MA 02364-1128
Phone (781) 585-1899

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
485MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Acupuncture & Herbal Center LLC Acupuncturist PastSince Dec 15, 2019 Accepting new patients

Organizations & group practices 1

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": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689741324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 BROOKDALE ST",
            "city": "KINGSTON",
            "state": "MA",
            "postal_code": "023641128",
            "telephone_number": "781-585-1899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 BROOKDALE ST",
            "city": "KINGSTON",
            "state": "MA",
            "postal_code": "023641128",
            "telephone_number": "781-585-1899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHIDDEN",
        "first_name": "BRIAN",
        "middle_name": "S",
        "credential": "LIC. AC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MA",
            "license": "485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.