Active NPI
Robert Edward Gates Jr., L.AC, AP
- Acupuncturist
- Oviedo, FL
National Provider Identifier
1073824371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 673-055
- Practice address
- 2040 Winter Springs Blvd
Oviedo, FL 32765-9347 - Phone
- (407) 852-8584
- NPI assigned
- Jul 1, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 673-055 | WI | Primary |
| Acupuncturist | 171100000X | AP2809 | FL |
Addresses
Primary practice location
2040 Winter Springs Blvd
Oviedo, FL 32765-9347
Mailing address
1103 Ermine Ave
Winter Springs, FL 32708-4131
Phone (407) 852-8584
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP2809 | FL | MD | Acupuncturist |
| 673-055 | WI | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302825600000",
"number": "1073824371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1103 ERMINE AVE",
"city": "WINTER SPRINGS",
"state": "FL",
"postal_code": "327084131",
"telephone_number": "407-852-8584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2040 WINTER SPRINGS BLVD",
"city": "OVIEDO",
"state": "FL",
"postal_code": "327659347",
"telephone_number": "407-852-8584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GATES",
"first_name": "ROBERT",
"middle_name": "EDWARD",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "L.AC, AP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-07-01",
"last_updated": "2011-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "WI",
"license": "673-055",
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "FL",
"license": "AP2809",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oviedo, FL
- Charles F Garone, O.D.
- Jessica Garretson
- Gastro Health, LLC
- Gastrocare LLC
- Gastroenterology Services, LLC (Gastroenterology Plus)
- Gaviota Counseling, Inc.
- Peter N Gayed, D.D.S.
- Nicole E Geiger, MS,BCBA
- Gene L Krishingner Jr MD PA (OBGYN Care Oralndo)
- Genesis Health Development, Inc. (Brooks Health Development)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.