Organization Active NPI

Purple Clover Acupuncture LLC

  • Acupuncturist
  • Malden, MA
National Provider Identifier
1740100098
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
PURPLE CLOVER ACUPUNCTURE LLC
Practice address
75 Pleasant St Apt 324
Malden, MA 02148-3081
Phone
(770) 335-1707
NPI assigned
Jul 17, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Authorized official

Name
Cory D Shamblin
Title
Owner
Phone
(770) 335-1707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

75 Pleasant St Apt 324
Malden, MA 02148-3081

Mailing address

75 Pleasant St Apt 324
Malden, MA 02148-3081
Phone (770) 335-1707

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1784246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784246400000",
    "number": "1740100098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 PLEASANT ST APT 324",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021483081",
            "telephone_number": "770-335-1707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 PLEASANT ST APT 324",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021483081",
            "telephone_number": "770-335-1707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURPLE CLOVER ACUPUNCTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-17",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A",
        "authorized_official_last_name": "SHAMBLIN",
        "authorized_official_first_name": "CORY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-335-1707"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malden, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; 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.