Individual provider Active NPI

Anis Anas Khalaf

  • Acupuncturist
  • Orlando, FL
National Provider Identifier
1407135239
Registry record updated Dec 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP3010 Issued in FL
Practice address
1900 N Mills Ave Ste 102
Orlando, FL 32803-1444
Phone
(407) 370-4444
Fax
(407) 845-0000
NPI assigned
Aug 10, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AP3010 FL Primary

Addresses

Primary practice location

1900 N Mills Ave Ste 102
Orlando, FL 32803-1444

Mailing address

PO Box 533993
Orlando, FL 32853-3993
Phone (813) 477-5555

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
AP3010FLMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Wellness Center Past Accepting new patients
Acupuncture Fit Acupuncturist Past Accepting new patients

Organizations & group practices 2

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": "1312934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575936000000",
    "number": "1407135239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 533993",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328533993",
            "telephone_number": "813-477-5555",
            "fax_number": "407-370-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 N MILLS AVE STE 102",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328031444",
            "telephone_number": "407-370-4444",
            "fax_number": "407-845-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALAF",
        "first_name": "ANIS",
        "middle_name": "ANAS",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-10",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP3010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; 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.