Active NPI
Douglas Arthur Lavergne
- Acupuncturist
- Glenville, NY
National Provider Identifier
1912140906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 002982
- Practice address
- 133 Saratoga Rd
Professional Building Suite 1
Glenville, NY 12302-4108 - Phone
- (518) 399-3838
- Fax
- (518) 399-3426
- NPI assigned
- Apr 7, 2009
- 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 | 002982 | NY | Primary |
Addresses
Primary practice location
133 Saratoga Rd
Professional Building Suite 1
Glenville, NY 12302-4108
Mailing address
133 Saratoga Road
Professional Building Suite 1
Glenville, NY 12302
Phone (518) 399-3838
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239062400000",
"number": "1912140906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 SARATOGA ROAD",
"address_2": "PROFESSIONAL BUILDING SUITE 1",
"city": "GLENVILLE",
"state": "NY",
"postal_code": "12302",
"telephone_number": "518-399-3838",
"fax_number": "518-399-3426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 SARATOGA RD",
"address_2": "PROFESSIONAL BUILDING SUITE 1",
"city": "GLENVILLE",
"state": "NY",
"postal_code": "123024108",
"telephone_number": "518-399-3838",
"fax_number": "518-399-3426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAVERGNE",
"first_name": "DOUGLAS",
"middle_name": "ARTHUR",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-04-07",
"last_updated": "2009-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "002982",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glenville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.