Individual provider Active NPI

Karen Dellas, L. AC.

  • Acupuncturist
  • East Syracuse, NY
National Provider Identifier
1730415936
Registry record updated Oct 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
00-4163-1 Issued in NY
Practice address
6701 Manlius Center Rd
Suite 245
East Syracuse, NY 13057-2999
Phone
(315) 431-3154
NPI assigned
Oct 22, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 00-4163-1 NY Primary

Addresses

Primary practice location

6701 Manlius Center Rd
Suite 245
East Syracuse, NY 13057-2999

Mailing address

6701 Manlius Center Rd
Suite 245
East Syracuse, NY 13057-2999
Phone (315) 431-3154

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
00-4163-1NYMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1256169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256169600000",
    "number": "1730415936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 MANLIUS CENTER RD",
            "address_2": "SUITE 245",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130572999",
            "telephone_number": "315-431-3154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 MANLIUS CENTER RD",
            "address_2": "SUITE 245",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130572999",
            "telephone_number": "315-431-3154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELLAS",
        "first_name": "KAREN",
        "credential": "L. AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-22",
        "last_updated": "2009-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "00-4163-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2009; 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.