Corrine Daves, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

ACU.0002603 Issued in CO

Practice address

2825 Marine St Ste B
Boulder, CO 80303-1027

Phone

(857) 222-5148

NPI assigned

Apr 9, 2020

Last updated

Dec 15, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Corrine Popp Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1586390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1740809821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 MARINE ST STE B",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031027",
            "telephone_number": "857-222-5148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 MARINE ST STE B",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031027",
            "telephone_number": "857-222-5148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVES",
        "first_name": "CORRINE",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-09",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "006731-01",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "ACU.0002603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CORRINE",
            "last_name": "POPP",
            "credential": "LAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Acupuncturist in Boulder, CO
• Providers in Boulder, CO by specialty
• Acupuncturist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; 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.