Individual provider Active NPI

Samuel Benjamin Townsend, MAOM, LAC

  • Acupuncturist
  • Raleigh, NC
National Provider Identifier
1851706311
Registry record updated Oct 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
750 Issued in NC
Practice address
1520 Glenwood Ave
Raleigh, NC 27608-2264
Phone
(919) 355-6567
NPI assigned
Jun 24, 2014
Last updated
Oct 10, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 750 NC Primary

Addresses

Primary practice location

1520 Glenwood Ave
Raleigh, NC 27608-2264

Mailing address

1520 Glenwood Ave
Raleigh, NC 27608-2264
Phone (919) 355-6567

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
750NCMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476057600000",
    "number": "1851706311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 GLENWOOD AVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276082264",
            "telephone_number": "919-355-6567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 GLENWOOD AVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276082264",
            "telephone_number": "919-355-6567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOWNSEND",
        "first_name": "SAMUEL",
        "middle_name": "BENJAMIN",
        "name_prefix": "Mr.",
        "credential": "MAOM, LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-24",
        "last_updated": "2016-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NC",
            "license": "750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2016; 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.