NPIMap

Organization Active NPI

Family Tree Acupuncture PL

  • Acupuncturist
  • Daytona Beach, FL
National Provider Identifier
1043654262
Registry record updated Apr 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP3134 Issued in FL
Legal business name
FAMILY TREE ACUPUNCTURE PL
Practice address
112 Orange Ave
Suite 204
Daytona Beach, FL 32114-4338
Phone
(386) 944-5855
NPI assigned
Apr 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2013

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

Authorized official

Name
Dr. Jorge Enrique Mejia, AP, DOM
Title
Owner
Phone
(386) 944-5855

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AP3134 FL Primary

Addresses

Primary practice location

112 Orange Ave
Suite 204
Daytona Beach, FL 32114-4338

Mailing address

1334 Florence CT
Holly Hill, FL 32117-2310

National Provider Directory

National Provider Directory

Locations

112 Orange Ave
Ste 204
Daytona Beach, FL 32114
Phone (386) 944-5855

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1366243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366243200000",
    "number": "1043654262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1334 FLORENCE CT",
            "city": "HOLLY HILL",
            "state": "FL",
            "postal_code": "321172310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 ORANGE AVE",
            "address_2": "SUITE 204",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321144338",
            "telephone_number": "386-944-5855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY TREE ACUPUNCTURE PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-18",
        "last_updated": "2013-04-18",
        "status": "A",
        "authorized_official_last_name": "MEJIA",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "ENRIQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-944-5855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AP, DOM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP3134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; 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.