NPIMap

Organization Active NPI

Deep Roots Holistic, LLC

Doing business as Deep Roots Family Wellness

  • Acupuncturist
  • Davie, FL
National Provider Identifier
1023584034
Registry record updated Oct 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
DEEP ROOTS HOLISTIC, LLC
Doing business as
Deep Roots Family Wellness
Practice address
6171 SW 42ND CT
Davie, FL 33314-3413
Phone
(904) 412-6168
NPI assigned
Oct 17, 2018
Last updated
Oct 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2018

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

Authorized official

Name
Mrs. Christal Dehay, APNPI 1821492141
Title
Owner
Phone
(904) 412-6168

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X NU Primary

Addresses

Primary practice location

6171 SW 42ND CT
Davie, FL 33314-3413

Mailing address

6171 SW 42ND CT
Davie, FL 33314-3413
Phone (904) 412-6168

Other names 1

  • Deep Roots Family Wellness Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1539734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539734400000",
    "number": "1023584034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6171 SW 42ND CT",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333143413",
            "telephone_number": "904-412-6168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6171 SW 42ND CT",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333143413",
            "telephone_number": "904-412-6168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEEP ROOTS HOLISTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-17",
        "last_updated": "2018-10-17",
        "status": "A",
        "authorized_official_last_name": "DEHAY",
        "authorized_official_first_name": "CHRISTAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-412-6168",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "AP"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Deep Roots Family Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; 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.