Active NPI
Dori C. Bozung, A.P.
- Acupuncturist
- St. Augustine, FL
National Provider Identifier
1386884559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AP2251
- Practice address
- 88 Riberia St.
Suite 110
St. Augustine, FL 32085 - Phone
- (904) 687-5352
- NPI assigned
- Mar 2, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AP2251 | FL | Primary |
Addresses
Primary practice location
88 Riberia St.
Suite 110
St. Augustine, FL 32085
Mailing address
35 Shenandoah St.
St. Augustine, FL 32084
Phone (904) 687-5352
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 |
|---|---|---|---|
| AP2251 | FL | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235952000000",
"number": "1386884559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 SHENANDOAH ST.",
"city": "ST. AUGUSTINE",
"state": "FL",
"postal_code": "32084",
"telephone_number": "904-687-5352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "88 RIBERIA ST.",
"address_2": "SUITE 110",
"city": "ST. AUGUSTINE",
"state": "FL",
"postal_code": "32085",
"telephone_number": "904-687-5352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOZUNG",
"first_name": "DORI",
"middle_name": "C.",
"name_prefix": "Ms.",
"credential": "A.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-02",
"last_updated": "2009-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "FL",
"license": "AP2251",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St. Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.