Active NPI
Laurent Olivier Andre Sr.
- Acupuncturist
- Bethesda, MD
National Provider Identifier
1710144308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- U01325
- Practice address
- 4000 Virginia PL
Bethesda, MD 20816-2632 - Phone
- (301) 542-6889
- NPI assigned
- May 21, 2008
- Last updated
- Jun 4, 2012
- 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 | U01325 | MD | Primary |
Addresses
Primary practice location
4000 Virginia PL
Bethesda, MD 20816-2632
Mailing address
PO Box 654
Cabin John, MD 20818-0654
Phone (301) 452-6889
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 |
|---|---|---|---|
| U01325 | MD | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338768000000",
"number": "1710144308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 654",
"city": "CABIN JOHN",
"state": "MD",
"postal_code": "208180654",
"telephone_number": "301-452-6889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 VIRGINIA PL",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208162632",
"telephone_number": "301-542-6889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDRE",
"first_name": "LAURENT",
"middle_name": "OLIVIER",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-21",
"last_updated": "2012-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MD",
"license": "U01325",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.