Individual provider Active NPI

Ece Evin Yildirim, LAC

  • Acupuncturist
  • Watertown, MA
National Provider Identifier
1760875496
Registry record updated Nov 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
269903 Issued in MA
Practice address
557 Mt. Auburn St
Watertown, MA 02472
Phone
(716) 796-3763
NPI assigned
Mar 5, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 269903 MA Primary
Acupuncturist 171100000X 005485 NY

Addresses

Primary practice location

557 Mt. Auburn St
Watertown, MA 02472

Mailing address

53 Hill Rd #207
Belmont, MA 02478
Phone (716) 796-3763

Other practice location 1

29 Main St
Ste 3B
Chatham, NY 12037-1224
Phone (716) 796-3763

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
269903MAMDAcupuncturist
005485NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
New Moon Acupuncture PLLC Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1425513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510185600000",
    "number": "1760875496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 HILL RD #207",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "02478",
            "telephone_number": "716-796-3763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "557 MT. AUBURN ST",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "02472",
            "telephone_number": "716-796-3763"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29 Main St",
            "address_2": "STE 3B",
            "address_purpose": "LOCATION",
            "city": "Chatham",
            "state": "NY",
            "postal_code": "120371224",
            "country_code": "US",
            "telephone_number": "716-796-3763",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YILDIRIM",
        "first_name": "ECE",
        "middle_name": "EVIN",
        "name_prefix": "Ms.",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-05",
        "last_updated": "2017-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MA",
            "license": "269903",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "005485",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2017; 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.