NPIMap

Organization Active NPI

Revive Acupuncture

  • Acupuncturist
  • Fremont, CA
National Provider Identifier
1881948693
Registry record updated Oct 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
13042 Issued in CA
Legal business name
REVIVE ACUPUNCTURE
Practice address
43353 Mission Blvd # B
Fremont, CA 94539-5828
Phone
(510) 438-0128
Fax
(925) 683-6484
NPI assigned
Oct 31, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2012

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

Authorized official

Name
Megan Dauphin, L.AC.NPI 1144461781
Title
Acupuncturist/Owner
Phone
(831) 428-5785

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 13042 CA Primary

Addresses

Primary practice location

43353 Mission Blvd # B
Fremont, CA 94539-5828

Mailing address

43353 Mission Blvd # B
Fremont, CA 94539-5828
Phone (510) 438-0128

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1351641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351641600000",
    "number": "1881948693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43353 MISSION BLVD # B",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945395828",
            "telephone_number": "510-438-0128",
            "fax_number": "925-683-6484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43353 MISSION BLVD # B",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945395828",
            "telephone_number": "510-438-0128",
            "fax_number": "925-683-6484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-31",
        "last_updated": "2012-10-31",
        "status": "A",
        "authorized_official_last_name": "DAUPHIN",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "ACUPUNCTURIST/OWNER",
        "authorized_official_telephone_number": "831-428-5785",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "13042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2012; 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.