Organization Active NPI

Dr. Mitya Schoppe, Dacm, RN, L.Ac., PLLC

  • Acupuncturist
  • White River Junction, VT
National Provider Identifier
1730795345
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
DR. MITYA SCHOPPE, DACM, RN, L.AC., PLLC
Practice address
18 N Main St
White River Junction, VT 05001-7062
Phone
(802) 456-4581
NPI assigned
Sep 18, 2020
Last updated
Sep 18, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2020

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

Authorized official

Name
Dr. Mitya Schoppe, DACMNPI 1194333013
Title
President
Phone
(802) 456-4581

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X Primary

Addresses

Primary practice location

18 N Main St
White River Junction, VT 05001-7062

Mailing address

195 Sykes Mountain Ave Unit 4472
White River Junction, VT 05001-8243
Phone (802) 456-4581

National Provider Directory

National Provider Directory

Locations

18 N Main St
White River Junction, VT 05001
Phone (619) 876-0064

195 Sykes Mountain Ave
Unit 4472
White River Junction, VT 05001

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1600387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600387200000",
    "number": "1730795345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 SYKES MOUNTAIN AVE UNIT 4472",
            "city": "WHITE RIVER JUNCTION",
            "state": "VT",
            "postal_code": "050018243",
            "telephone_number": "802-456-4581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 N MAIN ST",
            "city": "WHITE RIVER JUNCTION",
            "state": "VT",
            "postal_code": "050017062",
            "telephone_number": "802-456-4581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MITYA SCHOPPE, DACM, RN, L.AC., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-18",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A",
        "authorized_official_last_name": "SCHOPPE",
        "authorized_official_first_name": "MITYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "802-456-4581",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DACM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White River Junction, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.