Individual provider Active NPI

Roc Herbert Gantt, OMD,L.AC.

  • Acupuncturist
  • Sacramento, CA
National Provider Identifier
1790932796
Registry record updated Aug 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
CM3027 Issued in CA
Practice address
5777 Madison Ave Ste 490
Sacramento, CA 95841-3303
Phone
(916) 349-9223
Fax
(916) 332-3429
NPI assigned
Aug 20, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X CM3027 CA Primary

Addresses

Primary practice location

5777 Madison Ave Ste 490
Sacramento, CA 95841-3303

Mailing address

5777 Madison Ave Ste 490
Sacramento, CA 95841-3303
Phone (916) 349-9223

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
CM3027CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219190400000",
    "number": "1790932796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5777 MADISON AVE STE 490",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958413303",
            "telephone_number": "916-349-9223",
            "fax_number": "916-332-3429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5777 MADISON AVE STE 490",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958413303",
            "telephone_number": "916-349-9223",
            "fax_number": "916-332-3429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANTT",
        "first_name": "ROC",
        "middle_name": "HERBERT",
        "name_prefix": "Dr.",
        "credential": "OMD,L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-20",
        "last_updated": "2008-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "CM3027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; 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.