Active NPI
Stephen Corsale, DIPL. O.M. L.AC.
- Acupuncturist
- Boulder, CO
National Provider Identifier
1972657625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 841
- Practice address
- 4440 Arapahoe Ave Ste 215
Boulder, CO 80303-9100 - Phone
- (720) 201-9156
- NPI assigned
- Jan 22, 2007
- 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 | 841 | CO | Primary |
Addresses
Primary practice location
4440 Arapahoe Ave Ste 215
Boulder, CO 80303-9100
Mailing address
4440 Arapahoe Ave Ste 215
Boulder, CO 80303-9100
Phone (720) 201-9156
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 |
|---|---|---|---|
| 841 | CO | MD | Surgical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661212800000",
"number": "1972657625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4440 ARAPAHOE AVE STE 215",
"city": "BOULDER",
"state": "CO",
"postal_code": "803039100",
"telephone_number": "720-201-9156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4440 ARAPAHOE AVE STE 215",
"city": "BOULDER",
"state": "CO",
"postal_code": "803039100",
"telephone_number": "720-201-9156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORSALE",
"first_name": "STEPHEN",
"name_prefix": "Mr.",
"credential": "DIPL. O.M. L.AC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-22",
"last_updated": "2022-08-23",
"certification_date": "2022-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CO",
"license": "841",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.