Francis E Phelps III, D.O.M

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AP899 Issued in FL

Practice address

410 Evernia St
Suite 115
West Palm Beach, FL 33401-5430

Phone

(561) 655-6695

Fax

(561) 655-6695

NPI assigned

Oct 5, 2009

Last updated

Oct 5, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1254700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254700800000",
    "number": "1396070686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 EVERNIA ST",
            "address_2": "SUITE 115",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334015430",
            "telephone_number": "561-655-6695",
            "fax_number": "561-655-6695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 EVERNIA ST",
            "address_2": "SUITE 115",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334015430",
            "telephone_number": "561-655-6695",
            "fax_number": "561-655-6695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "FRANCIS",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.O.M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-05",
        "last_updated": "2009-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "C0423",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielson Pharaud
• Pharma 4.0 LLC
• Phases Detox, LLC
• Phases Detox, LLC
• Annemarie Phelan, MS, LMHC
• Kathleen R Philbin, CNM
• Willy Philias, M.D.
• Philip a. Mauri, D.C., Inc.
• Michael Philippe-Auguste, M.D
• Osly Philistin, D.C.

• Acupuncturist in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Acupuncturist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.

Verify at the official NPI Registry.