NPIMap

Organization Active NPI

Integrative and Restorative Medical Center

  • Acupuncturist
  • Port Charlotte, FL
National Provider Identifier
1093170391
Registry record updated Dec 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP 3370 Issued in FL
Legal business name
INTEGRATIVE AND RESTORATIVE MEDICAL CENTER
Practice address
1720 El Jobean Rd
Suite 108
Port Charlotte, FL 33948-1261
Phone
(941) 979-6509
NPI assigned
Dec 31, 2015
Last updated
Dec 31, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2015

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

Authorized official

Name
Dr. Misha Josef Payant, DAOM
Title
Owner
Phone
(941) 979-6509

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AP 3370 FL Primary

Addresses

Primary practice location

1720 El Jobean Rd
Suite 108
Port Charlotte, FL 33948-1261

Mailing address

1720 El Jobean Rd
Suite 108
Port Charlotte, FL 33948-1261
Phone (941) 979-6509

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1451520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451520000000",
    "number": "1093170391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 EL JOBEAN RD",
            "address_2": "SUITE 108",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339481261",
            "telephone_number": "941-979-6509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 EL JOBEAN RD",
            "address_2": "SUITE 108",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339481261",
            "telephone_number": "941-979-6509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE AND RESTORATIVE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-31",
        "last_updated": "2015-12-31",
        "status": "A",
        "authorized_official_last_name": "PAYANT",
        "authorized_official_first_name": "MISHA",
        "authorized_official_middle_name": "JOSEF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-979-6509",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DAOM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP 3370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2015; 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.