Individual provider Active NPI

Matthew Perrine Flesch, L.AC.

  • Acupuncturist
  • Kirkland, WA
National Provider Identifier
1831342997
Registry record updated Nov 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC 60036535 Issued in WA
Practice address
318 2ND St S
Kirkland, WA 98033-6513
Phone
(425) 218-3094
Fax
(425) 402-8489
NPI assigned
Nov 2, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 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 AC 60036535 WA Primary

Addresses

Primary practice location

318 2ND St S
Kirkland, WA 98033-6513

Mailing address

318 2ND St S
Kirkland, WA 98033-6513
Phone (425) 218-3094

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
AC 60036535WAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1225584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225584000000",
    "number": "1831342997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 2ND ST S",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980336513",
            "telephone_number": "425-218-3094",
            "fax_number": "425-402-8489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 2ND ST S",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980336513",
            "telephone_number": "425-218-3094",
            "fax_number": "425-402-8489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLESCH",
        "first_name": "MATTHEW",
        "middle_name": "PERRINE",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-02",
        "last_updated": "2008-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC 60036535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.