Active NPI
Gregory P Fessenden, MBA, MS, LAC
- Acupuncturist
- Westerly, RI
National Provider Identifier
1720390487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- DA00346
- Practice address
- 1 Summer St
Westerly, RI 02891-2242 - Phone
- (917) 882-6262
- NPI assigned
- Jul 10, 2010
- Last updated
- Jul 10, 2010
- 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 | DA00346 | RI | Primary |
Addresses
Primary practice location
1 Summer St
Westerly, RI 02891-2242
Mailing address
1 Summer St
Westerly, RI 02891-2242
Phone (917) 882-6262
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
- Credentials
- Master of Business Administration, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DA00346 | RI | MD | Acupuncturist |
Interoperability endpoints
- gregoryp.fessenden@xdr.hhchealthdirect.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278720000000",
"number": "1720390487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 SUMMER ST",
"city": "WESTERLY",
"state": "RI",
"postal_code": "028912242",
"telephone_number": "917-882-6262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 SUMMER ST",
"city": "WESTERLY",
"state": "RI",
"postal_code": "028912242",
"telephone_number": "917-882-6262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FESSENDEN",
"first_name": "GREGORY",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "MBA, MS, LAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-07-10",
"last_updated": "2010-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "RI",
"license": "DA00346",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westerly, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.