Spark Acupuncture LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AP3429 Issued in FL

Legal business name

SPARK ACUPUNCTURE LLC

Practice address

4210 Kent Dr
Largo, FL 33774-1017

Phone

(216) 973-4957

NPI assigned

Oct 6, 2014

Organization subpart

No

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

Authorized official

Name

Mark Hogan

Title

Acupuncturisty

Phone

(216) 973-4957

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1412553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412553600000",
    "number": "1255734216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4210 KENT DR",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337741017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4210 KENT DR",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337741017",
            "telephone_number": "216-973-4957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARK ACUPUNCTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-06",
        "last_updated": "2014-10-06",
        "status": "A",
        "authorized_official_last_name": "HOGAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "ACUPUNCTURISTY",
        "authorized_official_telephone_number": "216-973-4957"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP3429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Largo, FL
• Providers in Largo, FL by specialty
• Acupuncturist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2014; 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.