Individual provider Active NPI

Valentin Mirea, A.P., D.O.M.

  • Acupuncturist
  • St. Petersburg, FL
National Provider Identifier
1366565228
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC2859 Issued in FL
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

Updated by the provider on Jul 19, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1218OtherCOCOLORADO LICENCE
2859OtherFLFLORIDA

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
1218COMDInternist Chiropractor
2859FLMDAcupuncturist
AC2859FLMDAcupuncturist
492TXMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.