Dong Yo Acupuncture

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

AP1352 Issued in FL

Legal business name

DONG YO ACUPUNCTURE

Practice address

2105 Palm Bay Rd NE
Ste 2
Palm Bay, FL 32905-2937

Phone

(321) 723-3017

NPI assigned

Dec 6, 2016

Last updated

Dec 6, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Susan Jean Hathaway, DAOM

Title

Acupuncturist

Phone

(321) 723-3017

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1480982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480982400000",
    "number": "1457895757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 PALM BAY RD NE",
            "address_2": "STE 2",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329052937",
            "telephone_number": "321-723-3017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 PALM BAY RD NE",
            "address_2": "STE 2",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329052937",
            "telephone_number": "321-723-3017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONG YO ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-06",
        "last_updated": "2016-12-06",
        "status": "A",
        "authorized_official_last_name": "HATHAWAY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "321-723-3017",
        "authorized_official_credential": "DAOM"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "AP1352",
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "OR",
            "license": "AC164809",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2016; 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.