Individual provider Active NPI

Thalia De Jesus Dain, L.AC., LMT

  • Acupuncturist
  • Dover, NH
National Provider Identifier
1790514016
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
332 Issued in NH
Practice address
314B Central Ave
Dover, NH 03820-4133
Phone
(603) 534-2334
NPI assigned
Jul 26, 2024
Last updated
Jul 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 332 NH Primary
Massage Therapist 225700000X 8267 NH

Addresses

Primary practice location

314B Central Ave
Dover, NH 03820-4133

Mailing address

6 Ross Rd
Rollinsford, NH 03869-5910
Phone (603) 534-2334

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
8267NHMDIndependent Medical Examiner Physician
332NHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Radiance Natural Health, LLC Acupuncturist CurrentSince Jul 28, 2024 Accepting new patients

Locations

314 Central Ave
#B
Dover, NH 03820
Phone (603) 534-2334

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1721952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1790514016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 ROSS RD",
            "city": "ROLLINSFORD",
            "state": "NH",
            "postal_code": "038695910",
            "telephone_number": "603-534-2334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314B CENTRAL AVE",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038204133",
            "telephone_number": "603-534-2334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAIN",
        "first_name": "THALIA",
        "middle_name": "DE JESUS",
        "credential": "L.AC., LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-26",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NH",
            "license": "332",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NH",
            "license": "8267",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; 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.