Active NPI
Elon Cameron, MSTOM, DIPL. OM
- Acupuncturist
- Traverse City, MI
National Provider Identifier
1922421742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 113585
- Practice address
- 121 S Garfield Ave Ste a
Traverse City, MI 49686-2967 - Phone
- (231) 943-2328
- Fax
- (231) 943-2327
- NPI assigned
- Jan 30, 2014
- Sex
- Female
- 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 | 113585 | Primary |
Addresses
Primary practice location
121 S Garfield Ave Ste a
Traverse City, MI 49686-2967
Mailing address
121 S Garfield Ave Ste a
Traverse City, MI 49686-2967
Phone (231) 943-2328
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": "1391040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391040000000",
"number": "1922421742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 S GARFIELD AVE STE A",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496862967",
"telephone_number": "231-943-2328",
"fax_number": "231-943-2327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 S GARFIELD AVE STE A",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496862967",
"telephone_number": "231-943-2328",
"fax_number": "231-943-2327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMERON",
"first_name": "ELON",
"credential": "MSTOM, DIPL. OM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-30",
"last_updated": "2014-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": null,
"license": "113585",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Traverse City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.