Active NPI
Angelica D. Kokkalis, DOM, LAC
- Acupuncturist
- W. Lafayette, IN
National Provider Identifier
1811228240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 84000081A ACUPUNTURI
- Practice address
- 124 Westwood Dr.
W. Lafayette, IN 47906 - Phone
- (765) 497-0817
- Fax
- (765) 807-2914
- NPI assigned
- Jan 25, 2010
- Sex
- Female
- 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 | 84000081A ACUPUNTURI | IN | Primary |
Addresses
Primary practice location
124 Westwood Dr.
W. Lafayette, IN 47906
Mailing address
124 Westwood Dr.
W. Lafayette, IN 47906
Phone (765) 497-0817
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 |
|---|---|---|---|
| 84000081A ACUPUNTURI | IN | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264377600000",
"number": "1811228240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 WESTWOOD DR.",
"city": "W. LAFAYETTE",
"state": "IN",
"postal_code": "47906",
"telephone_number": "765-497-0817",
"fax_number": "765-807-2914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 WESTWOOD DR.",
"city": "W. LAFAYETTE",
"state": "IN",
"postal_code": "47906",
"telephone_number": "765-497-0817",
"fax_number": "765-807-2914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOKKALIS",
"first_name": "ANGELICA",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "DOM, LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-25",
"last_updated": "2010-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "IN",
"license": "84000081A ACUPUNTURI",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in W. Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.