Organization Active NPI

Equilibria Acupuncture & Holistic Health Care

  • Acupuncturist
  • Davenport, FL
National Provider Identifier
1104275957
Registry record updated Jun 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP 3387 Issued in FL
Legal business name
EQUILIBRIA ACUPUNCTURE & HOLISTIC HEALTH CARE
Practice address
2302 North Blvd W
Suite D
Davenport, FL 33837-8920
Phone
(201) 388-7925
NPI assigned
Jun 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2016

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

Authorized official

Name
Dr. Kevin Concepcion, AP
Title
Owner/ Acupuncture Physician
Phone
(201) 388-7925

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AP 3387 FL Primary

Addresses

Primary practice location

2302 North Blvd W
Suite D
Davenport, FL 33837-8920

Mailing address

2302 North Blvd W
Suite D
Davenport, FL 33837-8920
Phone (201) 388-7925

National Provider Directory

National Provider Directory

Locations

2302 North Blvd W
Ste D
Davenport, FL 33837
Phone (863) 422-1400

NPI Registry JSON

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

{
    "created_epoch": "1465603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465603200000",
    "number": "1104275957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 NORTH BLVD W",
            "address_2": "SUITE D",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338378920",
            "telephone_number": "201-388-7925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 NORTH BLVD W",
            "address_2": "SUITE D",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338378920",
            "telephone_number": "201-388-7925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EQUILIBRIA ACUPUNCTURE & HOLISTIC HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-11",
        "last_updated": "2016-06-11",
        "status": "A",
        "authorized_official_last_name": "CONCEPCION",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER/ ACUPUNCTURE PHYSICIAN",
        "authorized_official_telephone_number": "201-388-7925",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AP"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP 3387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2016; 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.