Individual provider Active NPI

Mary Ellen Bestani, LIC.AC

  • Acupuncturist
  • Crystal Beach, TX
National Provider Identifier
1851694137
Registry record updated Dec 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC00615 Issued in TX
Practice address
957 Gulf Rd
Crystal Beach, TX 77650
Phone
(409) 225-2625
Fax
(409) 762-6464
NPI assigned
Dec 8, 2010
Last updated
Dec 8, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC00615 TX Primary

Addresses

Primary practice location

957 Gulf Rd
Crystal Beach, TX 77650

Mailing address

PO Box 1438
Crystal Beach, TX 77650-1438
Phone (409) 225-2625

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
AC00615TXMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291766400000",
    "number": "1851694137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1438",
            "city": "CRYSTAL BEACH",
            "state": "TX",
            "postal_code": "776501438",
            "telephone_number": "409-225-2625",
            "fax_number": "409-762-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "957 GULF RD",
            "city": "CRYSTAL BEACH",
            "state": "TX",
            "postal_code": "77650",
            "telephone_number": "409-225-2625",
            "fax_number": "409-762-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BESTANI",
        "first_name": "MARY",
        "middle_name": "ELLEN",
        "credential": "LIC.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-08",
        "last_updated": "2010-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "TX",
            "license": "AC00615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal Beach, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.