Active NPI
Benjamen P. Clancy, L.AC, DIPL.AC
- Acupuncturist
- Louisville, KY
National Provider Identifier
1902938350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC026
- Practice address
- 4169 Westport Rd
Suite 124
Louisville, KY 40207-2747 - Phone
- (502) 710-9088
- NPI assigned
- Mar 12, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | AC026 | KY | Primary |
Addresses
Primary practice location
4169 Westport Rd
Suite 124
Louisville, KY 40207-2747
Mailing address
4169 Westport Rd
Suite 124
Louisville, KY 40207-2747
Phone (502) 710-9088
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 |
|---|---|---|---|
| AC026 | KY | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clancy Acupuncture and Oriental Medicine | Acupuncturist | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Sarasota, FL
- NPI 1083224430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406073600000",
"number": "1902938350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4169 WESTPORT RD",
"address_2": "SUITE 124",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402072747",
"telephone_number": "502-710-9088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4169 WESTPORT RD",
"address_2": "SUITE 124",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402072747",
"telephone_number": "502-710-9088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLANCY",
"first_name": "BENJAMEN",
"middle_name": "P.",
"name_prefix": "Dr.",
"credential": "L.AC, DIPL.AC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-12",
"last_updated": "2014-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "KY",
"license": "AC026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.