Organization Active NPI

Chinese Medical Clinic, Inc

  • Acupuncturist
  • Royal Palm Beach, FL
National Provider Identifier
1063103091
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
CHINESE MEDICAL CLINIC, INC
Practice address
9100 Belvedere Rd Ste 109-110
Royal Palm Beach, FL 33411-3607
Phone
(561) 791-9970
NPI assigned
May 19, 2023
Last updated
May 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2023

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

Authorized official

Name
Laibao ShaoNPI 1255400685
Title
Owner
Phone
(561) 707-0034

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X NU Primary

Addresses

Primary practice location

9100 Belvedere Rd Ste 109-110
Royal Palm Beach, FL 33411-3607

Mailing address

9100 Belvedere Rd Ste 109-110
Royal Palm Beach, FL 33411-3607
Phone (561) 791-9970

National Provider Directory

National Provider Directory

Locations

9100 Belvedere Rd
Ste 109110
Royal Palm Beach, FL 33411
Phone (561) 791-9970

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": "1684454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684454400000",
    "number": "1063103091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 BELVEDERE RD STE 109-110",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334113607",
            "telephone_number": "561-791-9970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 BELVEDERE RD STE 109-110",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334113607",
            "telephone_number": "561-791-9970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHINESE MEDICAL CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-19",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A",
        "authorized_official_last_name": "SHAO",
        "authorized_official_first_name": "LAIBAO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-707-0034"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; 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.