Binh Phan, DOM, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AP4317 Issued in FL

Practice address

5580 Park Blvd N Ste 1
Pinellas Park, FL 33781-3328

Phone

(727) 385-0052

NPI assigned

Feb 16, 2022

Last updated

Jun 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Phancore Wellness LLC

  • Chiropractor
  • Pinellas Park, FL
  • NPI 1346725140
  NPD (past)

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

{
    "created_epoch": "1644969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1285389460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5580 PARK BLVD N STE 1",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337813328",
            "telephone_number": "727-385-0052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5580 PARK BLVD N STE 1",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337813328",
            "telephone_number": "727-385-0052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAN",
        "first_name": "BINH",
        "name_prefix": "Dr.",
        "credential": "DOM, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-16",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP4317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Personal Enrichment Through Mental Health Services (PEMHS, Inc)
• Personal Enrichment Through Mental Health Services (Eleos)
• Tawana Shashana Peters-Burton
• Kristina Louise Petrocco-Napuli, DC
• Quynh Pham
• John Phan, DC
• Phancore Wellness LLC
• Phi LLC (Crystal Oaks of Pinellas)
• Brandi Laine Phillips, M.D.
• PHMN Inc (HP Pharmacy)

• Acupuncturist in Pinellas Park, FL
• Providers in Pinellas Park, FL by specialty
• Acupuncturist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; 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.