Individual provider Active NPI

Eric Lee Warden, A.P.

  • Acupuncturist
  • Bridgeport, WV
National Provider Identifier
1801116868
Registry record updated Jun 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
96203 Issued in WV
Practice address
7 Chenoweth Dr
A
Bridgeport, WV 26330-1675
Phone
(304) 848-0808
Fax
(304) 265-3665
NPI assigned
Jun 1, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 96203 WV Primary
Acupuncturist 171100000X AP1513 FL

Addresses

Primary practice location

7 Chenoweth Dr
A
Bridgeport, WV 26330-1675

Mailing address

7 Chenoweth Dr
A
Bridgeport, WV 26330-1675
Phone (304) 848-0808

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
AP1513FLMDAcupuncturist
96203WVMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1275350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275350400000",
    "number": "1801116868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 CHENOWETH DR",
            "address_2": "A",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263301675",
            "telephone_number": "304-848-0808",
            "fax_number": "304-265-3665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 CHENOWETH DR",
            "address_2": "A",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263301675",
            "telephone_number": "304-848-0808",
            "fax_number": "304-265-3665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARDEN",
        "first_name": "ERIC",
        "middle_name": "LEE",
        "credential": "A.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-01",
        "last_updated": "2010-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WV",
            "license": "96203",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP1513",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2010; 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.