Individual provider Active NPI

Hiroko Shimoda, D.O.M., L.AC.

  • Acupuncturist
  • Altamonte Springs, FL
National Provider Identifier
1336394493
Registry record updated Apr 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP2573 Issued in FL
Practice address
650 Maitland Ave
Altamonte Springs, FL 32701-6862
Phone
(407) 497-8446
NPI assigned
Nov 17, 2008
Last updated
Apr 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AP2573 FL Primary

Addresses

Primary practice location

650 Maitland Ave
Altamonte Springs, FL 32701-6862

Mailing address

650 Maitland Ave
Altamonte Springs, FL 32701-6862
Phone (407) 497-8446

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

LicenseStateTypeSpecialty
AP2573FLMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Jimmy L. Wilson, Inc Acupuncturist Current Accepting new patients
Acuheal, LLC Acupuncturist CurrentSince May 21, 2023 Accepting new patients

Locations

650 Maitland Ave
Altamonte Springs, FL 32701
Phone (407) 927-9718

1750 W Broadway St
Ste 106
Oviedo, FL 32765
Phone (407) 463-1197

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1226880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523923200000",
    "number": "1336394493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 MAITLAND AVE",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327016862",
            "telephone_number": "407-497-8446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 MAITLAND AVE",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327016862",
            "telephone_number": "407-497-8446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIMODA",
        "first_name": "HIROKO",
        "credential": "D.O.M., L.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-17",
        "last_updated": "2018-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP2573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; 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.