NPIMap

Organization Active NPI

Port Orange Acupuncture LLC

  • Clinic/Center
  • Port Orange, FL
National Provider Identifier
1265780720
Registry record updated May 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
AP3008 Issued in FL
Legal business name
PORT ORANGE ACUPUNCTURE LLC
Practice address
100 Cessna Blvd
Suite B
Port Orange, FL 32128-6969
Phone
(386) 761-8818
NPI assigned
Aug 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2017

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

Authorized official

Name
Meaghan E Phillips, A.P.
Title
Owner
Phone
(386) 314-3959

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X AP3008 FL Primary
Clinic/Center 261Q00000X MA38975 FL

Addresses

Primary practice location

100 Cessna Blvd
Suite B
Port Orange, FL 32128-6969

Mailing address

100 Cessna Blvd
Suite B
Port Orange, FL 32128-6969
Phone (386) 761-8818

National Provider Directory

National Provider Directory

Locations

100 Cessna Blvd
Ste B
Port Orange, FL 32128
Phone (386) 761-8818

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493856000000",
    "number": "1265780720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CESSNA BLVD",
            "address_2": "SUITE B",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321286969",
            "telephone_number": "386-761-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CESSNA BLVD",
            "address_2": "SUITE B",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321286969",
            "telephone_number": "386-761-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT ORANGE ACUPUNCTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-15",
        "last_updated": "2017-05-04",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "MEAGHAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-314-3959",
        "authorized_official_credential": "A.P."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "AP3008",
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "MA38975",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orange, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2017; 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.