Active NPI
Joseph Erick Samuels, D.O.M.
- Acupuncturist
- Lecanto, FL
National Provider Identifier
1306864590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AP 1286
- Practice address
- 2639 W Norvell Bryant Hwy
Lecanto, FL 34461-9440 - Phone
- (352) 746-5669
- Fax
- (352) 746-5795
- NPI assigned
- Jul 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AP 1286 | FL | Primary |
Addresses
Primary practice location
2639 W Norvell Bryant Hwy
Lecanto, FL 34461-9440
Mailing address
2639 W Norvell Bryant Hwy
Lecanto, FL 34461-9440
Phone (352) 746-5669
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C7567 | Other | FL | BC/BS OF FLORIDA PROVIDER |
| C0620 | Other | FL | BC/BS OF FLORIDA PROVIDER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP 1286 | FL | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cypress Healting Arts Center, Inc. | Acupuncturist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Acupuncturist
- Lecanto, FL
- NPI 1699013979
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551139200000",
"number": "1306864590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2639 W NORVELL BRYANT HWY",
"city": "LECANTO",
"state": "FL",
"postal_code": "344619440",
"telephone_number": "352-746-5669",
"fax_number": "352-746-5795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2639 W NORVELL BRYANT HWY",
"city": "LECANTO",
"state": "FL",
"postal_code": "344619440",
"telephone_number": "352-746-5669",
"fax_number": "352-746-5795"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMUELS",
"first_name": "JOSEPH",
"middle_name": "ERICK",
"name_prefix": "Mr.",
"credential": "D.O.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2019-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "FL",
"license": "AP 1286",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF FLORIDA PROVIDER",
"identifier": "C7567",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF FLORIDA PROVIDER",
"identifier": "C0620",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lecanto, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.