Individual provider Active NPI

Cornelious Drane Jr., A.P.

  • Acupuncturist
  • Hollywood, FL
National Provider Identifier
1124223748
Registry record updated Dec 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP2387 Issued in FL
Practice address
6517 Taft St Ste 200
Hollywood, FL 33024-4048
Phone
(954) 967-1100
Fax
(954) 967-2600
NPI assigned
Jun 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AP2387 FL Primary

Addresses

Primary practice location

6517 Taft St Ste 200
Hollywood, FL 33024-4048

Mailing address

3551 SW 137TH Ave
Miramar, FL 33027-3206
Phone (786) 426-8076

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
AP2387FLMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198195200000",
    "number": "1124223748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3551 SW 137TH AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330273206",
            "telephone_number": "786-426-8076",
            "fax_number": "954-322-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6517 TAFT ST STE 200",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330244048",
            "telephone_number": "954-967-1100",
            "fax_number": "954-967-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRANE",
        "first_name": "CORNELIOUS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "A.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-15",
        "last_updated": "2007-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP2387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; 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.