Individual provider Active NPI

Laibao Shao, A.P.

  • Acupuncturist
  • Royal Palm Beach, FL
National Provider Identifier
1255400685
Registry record updated Dec 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP1189 Issued in FL
Practice address
9100 Belvedere Rd Ste 109-110
Royal Palm Beach, FL 33411-3607
Phone
(561) 791-9970
Fax
(561) 791-9971
NPI assigned
Nov 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AP1189 FL Primary

Addresses

Primary practice location

9100 Belvedere Rd Ste 109-110
Royal Palm Beach, FL 33411-3607

Mailing address

9100 Belvedere Rd Ste 109-110
Royal Palm Beach, FL 33411-3607
Phone (561) 791-9970

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
AP1189FLMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Chinese Medical Clinic, Inc Acupuncturist CurrentSince May 21, 2023 Accepting new patients

Locations

9100 Belvedere Rd
Ste 109110
Royal Palm Beach, FL 33411
Phone (561) 791-9970

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228867200000",
    "number": "1255400685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 BELVEDERE RD STE 109-110",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334113607",
            "telephone_number": "561-791-9970",
            "fax_number": "561-791-9971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 BELVEDERE RD STE 109-110",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334113607",
            "telephone_number": "561-791-9970",
            "fax_number": "561-791-9971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAO",
        "first_name": "LAIBAO",
        "name_prefix": "Dr.",
        "credential": "A.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2008-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP1189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2008; 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.