Individual provider Active NPI

Landon I Agoado, A.P.

  • Acupuncturist
  • Tamarac, FL
National Provider Identifier
1215057294
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP1704 Issued in FL
Practice address
8050 N University Dr
#103
Tamarac, FL 33321-2115
Phone
(954) 752-8888
Fax
(954) 721-8843
NPI assigned
Mar 31, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 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 AP1704 FL Primary

Addresses

Primary practice location

8050 N University Dr
#103
Tamarac, FL 33321-2115

Mailing address

260 NE 3Rd St
#D
Delray Beach, FL 33444-3738
Phone (954) 260-2626

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
AP1704FLMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1175299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215057294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 NE 3RD ST",
            "address_2": "#D",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334443738",
            "telephone_number": "954-260-2626",
            "fax_number": "954-721-8843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8050 N UNIVERSITY DR",
            "address_2": "#103",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212115",
            "telephone_number": "954-752-8888",
            "fax_number": "954-721-8843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGOADO",
        "first_name": "LANDON",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "A.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP1704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.