David John Pennell, AC,PHYS.,L.M.T.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AP215 Issued in FL

Practice address

4701 N Federal Hwy Ste 311
Pompano Beach, FL 33064-6548

Phone

(954) 993-7502

NPI assigned

Sep 14, 2012

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347580800000",
    "number": "1013267277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 NORTH FEDERAL HWY STE 311",
            "city": "POMPANO",
            "state": "FL",
            "postal_code": "330646562",
            "telephone_number": "954-993-7502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 N FEDERAL HWY STE 311",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330646548",
            "telephone_number": "954-993-7502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNELL",
        "first_name": "DAVID",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "AC,PHYS.,L.M.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-14",
        "last_updated": "2012-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD PROVIDER ID",
            "identifier": "C0079",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pegasus Airwave Inc.
• Pelvic Health Institute and Minimally Invasive Surgery PA
• Arlenys Pena Gutierrez, RN
• Alicia Joann Pena
• Gehan Pendlebury
• Neal S Penneys, MD
• Gregory Pensak
• Lisette Perazzelli, RD
• Maria Perdomo
• Bianca Pereira

• Acupuncturist in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Acupuncturist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.