Active NPI
Michael Patrick Egan, L.AC.
- Acupuncturist
- Minneapolis, MN
National Provider Identifier
1982836243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 1471
- Practice address
- 2720 W 43Rd St Ste 205
Minneapolis, MN 55410-1643 - Phone
- (612) 743-0397
- NPI assigned
- Aug 19, 2009
- 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 | 1471 | MN | Primary |
Addresses
Primary practice location
2720 W 43Rd St Ste 205
Minneapolis, MN 55410-1643
Mailing address
2720 W 43Rd St Ste 205
Minneapolis, MN 55410-1643
Phone (612) 743-0397
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 |
|---|---|---|---|
| 1471 | MN | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292371200000",
"number": "1982836243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2720 W 43RD ST STE 205",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554101643",
"telephone_number": "612-743-0397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2720 W 43RD ST STE 205",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554101643",
"telephone_number": "612-743-0397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EGAN",
"first_name": "MICHAEL",
"middle_name": "PATRICK",
"credential": "L.AC.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-19",
"last_updated": "2010-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MN",
"license": "1471",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.