Individual provider Active NPI

Robert Loren Ligon

  • Acupuncturist
  • Fairlawn, OH
National Provider Identifier
1912414285
Registry record updated Jan 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
65.000105 Issued in OH
Practice address
3250 W Market St Ste 104
Fairlawn, OH 44333-3319
Phone
(330) 696-3385
NPI assigned
Jan 8, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 65.000105 OH Primary

Addresses

Primary practice location

3250 W Market St Ste 104
Fairlawn, OH 44333-3319

Mailing address

1122 Foxglove Cir
Cuyahoga Falls, OH 44223-4506
Phone (330) 696-3385

Other identifiers 1

IdentifierTypeStateIssuer
623462800OtherU.S. DEP. OF LABOR - OFFICE OF WORKERS COMPENSAITON

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
65.000105OHMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1515369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515369600000",
    "number": "1912414285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 FOXGLOVE CIR",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442234506",
            "telephone_number": "330-696-3385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 W MARKET ST STE 104",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333319",
            "telephone_number": "330-696-3385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIGON",
        "first_name": "ROBERT",
        "middle_name": "LOREN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-08",
        "last_updated": "2018-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OH",
            "license": "65.000105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "U.S. DEP. OF LABOR - OFFICE OF WORKERS COMPENSAITON",
            "identifier": "623462800",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairlawn, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2018; 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.