Organization Active NPI

Eastern Acupuncture and Wellness

  • Acupuncturist
  • Plantation, FL
National Provider Identifier
1275959801
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP3349 Issued in FL
Legal business name
EASTERN ACUPUNCTURE AND WELLNESS
Practice address
13224 W Broward Blvd
Plantation, FL 33325-2228
Phone
(954) 400-5504
Fax
(954) 400-5503
NPI assigned
Mar 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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

Authorized official

Name
Jennifer Cruz, APNPI 1235397910
Title
Owner, Acupuncturist
Phone
(954) 400-5504

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AP3349 FL Primary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X MA51421 FL

Addresses

Primary practice location

13224 W Broward Blvd
Plantation, FL 33325-2228

Mailing address

13224 W Broward Blvd
Plantation, FL 33325-2228
Phone (954) 400-5504

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL PLANTATION

National Provider Directory

National Provider Directory

Locations

13224 W Broward Blvd
Plantation, FL 33325
Phone (954) 400-5504

Ownership & related parties

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

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": "1394064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631750400000",
    "number": "1275959801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13224 W BROWARD BLVD",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333252228",
            "telephone_number": "954-400-5504",
            "fax_number": "954-400-5504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13224 W BROWARD BLVD",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333252228",
            "telephone_number": "954-400-5504",
            "fax_number": "954-400-5503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN ACUPUNCTURE AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-06",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER, ACUPUNCTURIST",
        "authorized_official_telephone_number": "954-400-5504",
        "authorized_official_credential": "AP"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP3349",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA51421",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "PLANTATION",
            "affiliation": "N",
            "address_1": "13224 W Broward Blvd",
            "city": "Plantation",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333252228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; 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.