Gentle Roots LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

AP3844 Issued in FL

Legal business name

GENTLE ROOTS LLC

Practice address

111 E 1St St
Sanford, FL 32771-1301

Phone

(407) 803-1890

NPI assigned

May 31, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Kira Rio Boguslaw, D.O.M.NPI 1427570068

Title

Doctor of Oriental Medicine

Phone

(407) 803-1890

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kira Rio Boguslaw, LAC

  • Acupuncturist
  • Sanford, FL
  • NPI 1427570068
  NPD (past) Authorized official

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

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527724800000",
    "number": "1407348808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3040 FOXHILL CIR APT 108",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327038145",
            "telephone_number": "407-803-1890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E 1ST ST",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327711301",
            "telephone_number": "407-803-1890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE ROOTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-31",
        "last_updated": "2018-05-31",
        "status": "A",
        "authorized_official_last_name": "BOGUSLAW",
        "authorized_official_first_name": "KIRA",
        "authorized_official_middle_name": "RIO",
        "authorized_official_title_or_position": "DOCTOR OF ORIENTAL MEDICINE",
        "authorized_official_telephone_number": "407-803-1890",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "D.O.M."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "AP3844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gastroenterology & Liver Consultants, P.L
• Diannoria Wysteria Gatlin, SOCIAL WORKER
• Veronica E Gbago, MASTER OF PUB HEALTH
• Yanina Genao, D.C.
• Genesis Rehab
• Agatha Gentry
• Christine George
• Meridith M Geyer, LMFT, MA
• Nilesh A Gheewalla, PHARM.D.
• Jenna Marie Gibilaro, M.D.

• Health Service Clinic/Center in Sanford, FL
• Providers in Sanford, FL by specialty
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.