Organization Active NPI

Blue Dragon Healing Center

  • Health Service Clinic/Center
  • Pinellas Park, FL
National Provider Identifier
1255810628
Registry record updated Aug 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
AP3324 Issued in FL
Legal business name
BLUE DRAGON HEALING CENTER
Doing business as
Blue Dragon Healing Center
Practice address
4431 Park Blvd N
Pinellas Park, FL 33781-3540
Phone
(727) 685-1390
Fax
(727) 685-1383
NPI assigned
Aug 7, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2018

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

Authorized official

Name
Stephen A Belmore Jr., AP
Title
Owner
Phone
(727) 685-1390

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X AP3324 FL Primary

Addresses

Primary practice location

4431 Park Blvd N
Pinellas Park, FL 33781-3540

Mailing address

4431 Park Blvd N
Pinellas Park, FL 33781-3540
Phone (727) 685-1390

Other identifiers 1

IdentifierTypeStateIssuer
1821493321OtherFLINDIVIDUAL NPI

Other names 1

  • Blue Dragon Healing Center Doing business as

National Provider Directory

National Provider Directory

Locations

4431 Park Blvd N
Pinellas Park, FL 33781
Phone (727) 201-2271

NPI Registry JSON

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

{
    "created_epoch": "1533600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533600000000",
    "number": "1255810628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4431 PARK BLVD N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337813540",
            "telephone_number": "727-685-1390",
            "fax_number": "727-685-1383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4431 PARK BLVD N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337813540",
            "telephone_number": "727-685-1390",
            "fax_number": "727-685-1383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE DRAGON HEALING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-07",
        "last_updated": "2018-08-07",
        "status": "A",
        "authorized_official_last_name": "BELMORE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-685-1390",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "AP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "AP3324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1821493321",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Dragon Healing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pinellas Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; 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.