Active NPI
Valentin Mirea, A.P., D.O.M.
- Acupuncturist
- St. Petersburg, FL
National Provider Identifier
1366565228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC2859
- Practice address
- 2520 Central Ave.
St. Petersburg, FL 33712 - Phone
- (727) 551-0857
- Fax
- (727) 202-6896
- NPI assigned
- Apr 7, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 2859 | FL | |
| Acupuncturist | 171100000X | 492 | TX | |
| Acupuncturist | 171100000X | 1218 | CO | |
| Acupuncturist | 171100000X | AC2859 | FL | Primary |
Addresses
Primary practice location
2520 Central Ave.
St. Petersburg, FL 33712
Mailing address
2520 Central Ave.
St. Petersburg, FL 33712
Phone (727) 551-0857
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1218 | Other | CO | COLORADO LICENCE |
| 2859 | Other | FL | FLORIDA |
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 |
|---|---|---|---|
| 1218 | CO | MD | Internist Chiropractor |
| 2859 | FL | MD | Acupuncturist |
| AC2859 | FL | MD | Acupuncturist |
| 492 | TX | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acupuncture & Herbal Therapies | 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
- St. Petersburg, FL
- NPI 1942359070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531958400000",
"number": "1366565228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2520 CENTRAL AVE.",
"city": "ST. PETERSBURG",
"state": "FL",
"postal_code": "33712",
"telephone_number": "727-551-0857",
"fax_number": "727-202-6896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2520 CENTRAL AVE.",
"city": "ST. PETERSBURG",
"state": "FL",
"postal_code": "33712",
"telephone_number": "727-551-0857",
"fax_number": "727-202-6896"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIREA",
"first_name": "VALENTIN",
"name_prefix": "Mr.",
"credential": "A.P., D.O.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-07",
"last_updated": "2018-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "FL",
"license": "2859",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "TX",
"license": "492",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CO",
"license": "1218",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "FL",
"license": "AC2859",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COLORADO LICENCE",
"identifier": "1218",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA",
"identifier": "2859",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St. Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.