Jean S Caron, DOM, AP, LMT

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AP2427 Issued in FL

Practice address

101 2ND St Ste 302
Holly Hill, FL 32117-4903

Phone

(386) 677-5400

Fax

(386) 347-5420

NPI assigned

Jun 14, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Four Winds Acupuncture

  • Acupuncturist
  • Ormond Beach, FL
  • NPI 1740429984
  NPD Authorized official

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1205030855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 2ND ST STE 302",
            "city": "HOLLY HILL",
            "state": "FL",
            "postal_code": "321174903",
            "telephone_number": "386-677-5400",
            "fax_number": "386-347-5420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 2ND ST STE 302",
            "city": "HOLLY HILL",
            "state": "FL",
            "postal_code": "321174903",
            "telephone_number": "386-677-5400",
            "fax_number": "386-347-5420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARON",
        "first_name": "JEAN",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "DOM, AP, LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP2427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Flynn Boener, LCSW
• Richard Lee Braithwaite, M.D.
• Georgia Mae Brazzell
• Jared Brooks, PHARMD
• Sharon Ann Calcutt
• Dawn Parr Chappel, LMFT
• Shauntria Cherry
• Kimei Cheung
• Terri Lynn Cimmerer, RPH
• Maximo Ramon Cintron

• Acupuncturist in Holly Hill, FL
• Providers in Holly Hill, FL by specialty
• Acupuncturist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; 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.