Active NPI
Tracy Peck, L.AC.
- Acupuncturist
- Greensboro, NC
National Provider Identifier
1962537506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 29
- Practice address
- 410 W Fisher Ave
Greensboro, NC 27401-2045 - Phone
- (336) 370-4399
- Fax
- (336) 370-4397
- NPI assigned
- Feb 23, 2007
- Last updated
- Jul 8, 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 | 29 | NC | Primary |
Addresses
Primary practice location
410 W Fisher Ave
Greensboro, NC 27401-2045
Mailing address
410 W Fisher Ave
Greensboro, NC 27401-2045
Phone (336) 370-4399
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 |
|---|---|---|---|
| 29 | NC | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962537506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 W FISHER AVE",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274012045",
"telephone_number": "336-370-4399",
"fax_number": "336-370-4397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 W FISHER AVE",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274012045",
"telephone_number": "336-370-4399",
"fax_number": "336-370-4397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PECK",
"first_name": "TRACY",
"credential": "L.AC.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NC",
"license": "29",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
- Terrance Allen Pearson, PHARMD
- Vallie Jane Pearson, PHARMD
- Marvin Peasah
- Paula Eem Pecen, MD
- Diane Allyn Peck, L.AC.
- Peculiar Counseling & Consulting, PLLC
- Joseph Pedaline, R,PH,
- Pediatric Ophthalmology Associates, P.a.
- Pediatric Opthalmology Assoc PA (Kidspecs)
- Pediatric Speech & Language Services Inc
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.