Active NPI
Justin Randall Stiffler, L. AC.
- Acupuncturist
- Oak Island, NC
National Provider Identifier
1770069932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 760
- Practice address
- 8517 E Oak Island Dr
Oak Island, NC 28465-8052 - Phone
- (910) 833-0766
- Fax
- (888) 447-0823
- NPI assigned
- Jul 11, 2018
- 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 | 760 | NC | Primary |
Addresses
Primary practice location
8517 E Oak Island Dr
Oak Island, NC 28465-8052
Mailing address
8517 E Oak Island Dr
Oak Island, NC 28465-8052
Phone (910) 833-0766
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 |
|---|---|---|---|
| 760 | NC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531267200000",
"number": "1770069932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8517 E OAK ISLAND DR",
"city": "OAK ISLAND",
"state": "NC",
"postal_code": "284658052",
"telephone_number": "910-833-0766",
"fax_number": "888-447-0823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8517 E OAK ISLAND DR",
"city": "OAK ISLAND",
"state": "NC",
"postal_code": "284658052",
"telephone_number": "910-833-0766",
"fax_number": "888-447-0823"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STIFFLER",
"first_name": "JUSTIN",
"middle_name": "RANDALL",
"credential": "L. AC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-07-11",
"last_updated": "2018-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NC",
"license": "760",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Island, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.