Individual provider Active NPI

Deirdre Chu Kocica, AP

  • Acupuncturist
  • Coral Gables, FL
National Provider Identifier
1376501676
Registry record updated Sep 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP 494 Issued in FL
Practice address
430 S Dixie Hwy
Suite 211
Coral Gables, FL 33146-2273
Phone
(305) 666-2243
Fax
(305) 666-9943
NPI assigned
May 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AP 494 FL Primary

Addresses

Primary practice location

430 S Dixie Hwy
Suite 211
Coral Gables, FL 33146-2273

Mailing address

430 S Dixie Hwy
Suite 211
Coral Gables, FL 33146-2273
Phone (305) 666-2243

Other identifiers 1

IdentifierTypeStateIssuer
CO220OtherFLBLUE CROSS BLUE SHIELD

Other names 1

  • Ms. Dashi Chu Kocica Other name

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
AP 494FLMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220313600000",
    "number": "1376501676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 S DIXIE HWY",
            "address_2": "SUITE 211",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331462273",
            "telephone_number": "305-666-2243",
            "fax_number": "305-666-9943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 S DIXIE HWY",
            "address_2": "SUITE 211",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331462273",
            "telephone_number": "305-666-2243",
            "fax_number": "305-666-9943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCICA",
        "first_name": "DEIRDRE",
        "middle_name": "CHU",
        "name_prefix": "Ms.",
        "credential": "AP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2008-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP 494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "CO220",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DASHI",
            "last_name": "KOCICA",
            "middle_name": "CHU",
            "prefix": "MS.",
            "credential": "AP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2008; 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.