Individual provider Active NPI

Keith Michael Parmenter, D.O.M

  • Acupuncturist
  • Deerfield Beach, FL
National Provider Identifier
1104026418
Registry record updated Dec 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP2103 Issued in FL
Practice address
160 SW 12TH Ave
102
Deerfield Beach, FL 33442-3119
Phone
(954) 574-5277
Fax
(954) 574-5228
NPI assigned
Jul 24, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 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 AP2103 FL Primary

Addresses

Primary practice location

160 SW 12TH Ave
102
Deerfield Beach, FL 33442-3119

Mailing address

160 SW 12TH Ave
102
Deerfield Beach, FL 33442-3119
Phone (954) 574-5277

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
AP2103FLMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
All About Acupuncture & Rolfing 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": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354752000000",
    "number": "1104026418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 SW 12TH AVE",
            "address_2": "102",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334423119",
            "telephone_number": "954-574-5277",
            "fax_number": "954-574-5228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 SW 12TH AVE",
            "address_2": "102",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334423119",
            "telephone_number": "954-574-5277",
            "fax_number": "954-574-5228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARMENTER",
        "first_name": "KEITH",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "D.O.M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-24",
        "last_updated": "2012-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP2103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.