Active NPI
Seneca Anderson Jr., L.AC.
- Acupuncturist
- Roswell, GA
National Provider Identifier
1821460965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 29
- Practice address
- 1745 Woodstock Rd
Roswell, GA 30075-2367 - Phone
- (770) 642-4646
- Fax
- (770) 642-4771
- NPI assigned
- Oct 28, 2015
- Last updated
- Oct 28, 2015
- Sex
- Male
- Sole proprietor
- No
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 | 29 | GA | Primary |
Addresses
Primary practice location
1745 Woodstock Rd
Roswell, GA 30075-2367
Mailing address
1745 Woodstock Rd
Roswell, GA 30075-2367
Phone (770) 642-4646
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 |
|---|---|---|---|
| 29 | GA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445990400000",
"number": "1821460965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1745 WOODSTOCK RD",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300752367",
"telephone_number": "770-642-4646",
"fax_number": "770-642-4771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1745 WOODSTOCK RD",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300752367",
"telephone_number": "770-642-4646",
"fax_number": "770-642-4771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "SENECA",
"name_suffix": "Jr.",
"credential": "L.AC.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-10-28",
"last_updated": "2015-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "GA",
"license": "29",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roswell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.