Active NPI
Ben Irving Dorfman, E.A.M.P.
- Acupuncturist
- Edmonds, WA
National Provider Identifier
1760752182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC60263618
- Practice address
- 657 Alder St
Edmonds, WA 98020-3415 - Phone
- (301) 775-6326
- NPI assigned
- Jan 2, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC60263618 | WA | Primary |
Addresses
Primary practice location
657 Alder St
Edmonds, WA 98020-3415
Mailing address
657 Alder St
Edmonds, WA 98020-3415
Phone (301) 775-6326
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
| License | State | Type | Specialty |
|---|---|---|---|
| AC60263618 | WA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325462400000",
"number": "1760752182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "657 ALDER ST",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980203415",
"telephone_number": "301-775-6326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "657 ALDER ST",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980203415",
"telephone_number": "301-775-6326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORFMAN",
"first_name": "BEN",
"middle_name": "IRVING",
"credential": "E.A.M.P.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-01-02",
"last_updated": "2012-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "WA",
"license": "AC60263618",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edmonds, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.