Organization Active NPI

Fertility & Prenatal Acupuncture Center

  • Acupuncturist
  • Miami, FL
National Provider Identifier
1306480652
Registry record updated Oct 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
FERTILITY & PRENATAL ACUPUNCTURE CENTER
Practice address
1801 SW 3Rd Ave Ste 401
Miami, FL 33129-1533
Phone
(305) 319-1195
NPI assigned
Oct 30, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2019

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

Authorized official

Name
Ivelisse Dejongh
Title
Acupuncture Physician
Phone
(306) 319-1195

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

1801 SW 3Rd Ave Ste 401
Miami, FL 33129-1533

Mailing address

1801 SW 3Rd Ave Ste 401
Miami, FL 33129-1533

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@miamiacupunctureclinic.com

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1572393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572393600000",
    "number": "1306480652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 SW 3RD AVE STE 401",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331291533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 SW 3RD AVE STE 401",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331291533",
            "telephone_number": "305-319-1195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERTILITY & PRENATAL ACUPUNCTURE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-30",
        "last_updated": "2019-10-30",
        "status": "A",
        "authorized_official_last_name": "DEJONGH",
        "authorized_official_first_name": "IVELISSE",
        "authorized_official_title_or_position": "ACUPUNCTURE PHYSICIAN",
        "authorized_official_telephone_number": "306-319-1195"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@miamiacupunctureclinic.com",
            "affiliation": "N",
            "address_1": "1801 SW 3rd Ave Ste 401",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331291533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; 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.