Organization Active NPI

Acupuncture & Holistic Health Center

  • Acupuncturist
  • Jacksonville, FL
National Provider Identifier
1356682793
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
ACUPUNCTURE & HOLISTIC HEALTH CENTER
Practice address
4540 Southside Blvd Ste 302
Jacksonville, FL 32216-5488
Phone
(904) 296-9545
Fax
(904) 296-9547
NPI assigned
Mar 11, 2013
Last updated
Jul 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Authorized official

Name
Mr. Michael Kowalski, A.P.NPI 1346488756
Title
President
Phone
(904) 296-9545

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AP 208 FL
Acupuncturist 171100000X Primary
General Practice Physician 208D00000X ME113529 FL
Massage Therapist 225700000X

Addresses

Primary practice location

4540 Southside Blvd Ste 302
Jacksonville, FL 32216-5488

Mailing address

4540 Southside Blvd Ste 302
Jacksonville, FL 32216-5488
Phone (904) 296-9545

Other identifiers 1

IdentifierTypeStateIssuer
1346488756OtherFLINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

4237 Salisbury Rd
Ste 107
Jacksonville, FL 32216
Phone (904) 206-8409

4540 Southside Blvd
Ste 302
Jacksonville, FL 32216
Phone (904) 296-9545

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1362960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721174400000",
    "number": "1356682793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4540 SOUTHSIDE BLVD STE 302",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322165488",
            "telephone_number": "904-296-9545",
            "fax_number": "904-296-9547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4540 SOUTHSIDE BLVD STE 302",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322165488",
            "telephone_number": "904-296-9545",
            "fax_number": "904-296-9547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACUPUNCTURE & HOLISTIC HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-11",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A",
        "authorized_official_last_name": "KOWALSKI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-296-9545",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "A.P."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP 208",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME113529",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1346488756",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.