Active NPI
John Anthony Charlebois, L.AC.
- Acupuncturist
- Portland, ME
National Provider Identifier
1952428708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC 200
- Practice address
- 218 Washington Ave
Portland, ME 04101-2632 - Phone
- (207) 773-7778
- Fax
- (207) 773-5773
- NPI assigned
- Mar 26, 2007
- Sex
- Male
- Sole proprietor
- No
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 | AC 200 | ME | Primary |
Addresses
Primary practice location
218 Washington Ave
Portland, ME 04101-2632
Mailing address
218 Washington Ave
Portland, ME 04101-2632
Phone (207) 773-7778
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 |
|---|---|---|---|
| AC 200 | ME | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jade Trade Inc. | Acupuncturist | Past | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952428708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "218 WASHINGTON AVE",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041012632",
"telephone_number": "207-773-7778",
"fax_number": "207-773-5773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "218 WASHINGTON AVE",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041012632",
"telephone_number": "207-773-7778",
"fax_number": "207-773-5773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHARLEBOIS",
"first_name": "JOHN",
"middle_name": "ANTHONY",
"credential": "L.AC.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "ME",
"license": "AC 200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.