MR. ANDRES FELIPE VERGARA L.AC NPI 1164618955

Acupuncturist in Winston Salem, NC

Individual Male Acupuncturist

About ANDRES VERGARA

Andres Vergara is a provider established in Winston Salem, North Carolina and his medical specialization is acupuncturist. The NPI number of Andres Vergara is 1164618955 and was assigned on September 2007. The practitioner's primary taxonomy code is 171100000X with license number 648 (NC). The provider is registered as an individual and his NPI record was last updated 7 years ago.

NPI

1164618955

Provider NameMR. ANDRES FELIPE VERGARA L.AC
Provider Location Address2522 REYNOLDA RD WINSTON SALEM, NC 27106
Provider Mailing Address417 W MAIN ST ELKIN, NC 28621
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date09-14-2007
Last Update Date07-24-2013

Primary Taxonomy

Taxonomy Code171100000X
ClassificationAcupuncturist
TypeOther Service Providers
License No.648
License StateNC
Taxonomy DescriptionAn acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.

Business Address

MR. ANDRES FELIPE VERGARA L.AC
2522 REYNOLDA RD
WINSTON SALEM, NC
ZIP 27106
Phone: (336) 508-1121

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Mailing Address

MR. ANDRES FELIPE VERGARA L.AC
417 W MAIN ST
ELKIN, NC
ZIP 28621
Phone: (336) 508-1121

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1710141239 JILLIAN SARNO ND
Individual
Naturopath2522 REYNOLDA RD
WINSTON SALEM, NC 27106
(336) 724-4452

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.