Individual provider Active NPI

David Alex Macgillivray, DOM AP

  • Acupuncturist
  • Windermere, FL
National Provider Identifier
1154600765
Registry record updated May 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP2935 Issued in FL
Practice address
120 W 6TH Ave
Suite D
Windermere, FL 34786-3525
Phone
(407) 484-7600
NPI assigned
Aug 12, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AP2935 FL Primary
Acupuncturist 171100000X 004548 NY

Addresses

Primary practice location

120 W 6TH Ave
Suite D
Windermere, FL 34786-3525

Mailing address

120 W 6TH Ave # D
Windermere, FL 34786-3525
Phone (407) 484-7600

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
AP2935FLMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1313107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368489600000",
    "number": "1154600765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W 6TH AVE # D",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347863525",
            "telephone_number": "407-484-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W 6TH AVE",
            "address_2": "SUITE D",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347863525",
            "telephone_number": "407-484-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACGILLIVRAY",
        "first_name": "DAVID",
        "middle_name": "ALEX",
        "credential": "DOM AP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-12",
        "last_updated": "2013-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP2935",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "004548",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windermere, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2013; 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.