Individual provider Active NPI

Danielle Rachel Kassin, LAP, DOM

  • Acupuncturist
  • Hallandale Beach, FL
National Provider Identifier
1073876918
Registry record updated Jun 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP2904 Issued in FL
Practice address
1100 E Hallandale Beach Blvd
Hallandale Beach, FL 33009-4432
Phone
(954) 456-6945
NPI assigned
Jun 15, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AP2904 FL Primary

Addresses

Primary practice location

1100 E Hallandale Beach Blvd
Hallandale Beach, FL 33009-4432

Mailing address

9801 Collins Ave Apt 14I
Bal Harbour, FL 33154-1840
Phone (305) 606-8901

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

LicenseStateTypeSpecialty
AP2904FLMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Mia Acupuncture, LLC Acupuncturist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339718400000",
    "number": "1073876918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9801 COLLINS AVE APT 14I",
            "city": "BAL HARBOUR",
            "state": "FL",
            "postal_code": "331541840",
            "telephone_number": "305-606-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E HALLANDALE BEACH BLVD",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094432",
            "telephone_number": "954-456-6945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASSIN",
        "first_name": "DANIELLE",
        "middle_name": "RACHEL",
        "name_prefix": "Mrs.",
        "credential": "LAP, DOM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-15",
        "last_updated": "2012-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP2904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallandale Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.