Individual provider Active NPI

James Christopher Kapetanakos, D.O.M

  • Acupuncturist
  • Anderson, SC
National Provider Identifier
1730349168
Registry record updated Feb 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
006802 Issued in SC
Practice address
2005 E Greenville St Ste 107
Anderson, SC 29621-1575
Phone
(864) 378-4747
Fax
(864) 507-2253
NPI assigned
Jun 10, 2008
Last updated
Feb 11, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 006802 SC Primary

Addresses

Primary practice location

2005 E Greenville St Ste 107
Anderson, SC 29621-1575

Mailing address

2005 E Greenville St Ste 107
Anderson, SC 29621-1575
Phone (864) 378-4747

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

LicenseStateTypeSpecialty
006802SCMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Altcare Community Natural Health & Acupuncture Acupuncturist Past 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1730349168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 E GREENVILLE ST STE 107",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296211575",
            "telephone_number": "864-378-4747",
            "fax_number": "864-507-2253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 E GREENVILLE ST STE 107",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296211575",
            "telephone_number": "864-378-4747",
            "fax_number": "864-507-2253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPETANAKOS",
        "first_name": "JAMES",
        "middle_name": "CHRISTOPHER",
        "credential": "D.O.M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-10",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "SC",
            "license": "006802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.