Active NPI
Dawn Lavelle Share, A.P.
- Acupuncturist
- Ormond Beach, FL
National Provider Identifier
1477887784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AP2726
- Practice address
- 1400 Hand Ave Ste N
Ormond Beach, FL 32174-8196 - Phone
- (386) 290-9493
- NPI assigned
- Sep 21, 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 | AP2726 | FL | Primary |
Addresses
Primary practice location
1400 Hand Ave Ste N
Ormond Beach, FL 32174-8196
Mailing address
145 Heritage Cir
Ormond Beach, FL 32174-4208
Phone (386) 290-9493
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 27-5007598 | Other | FL | IRS |
| 27-0959639 | Other | FL | IRS |
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 |
|---|---|---|---|
| AP2726 | FL | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347235200000",
"number": "1477887784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 HERITAGE CIR",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321744208",
"telephone_number": "386-290-9493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 HAND AVE STE N",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321748196",
"telephone_number": "386-290-9493"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHARE",
"first_name": "DAWN",
"middle_name": "LAVELLE",
"name_prefix": "Mrs.",
"credential": "A.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-21",
"last_updated": "2012-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "FL",
"license": "AP2726",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IRS",
"identifier": "27-5007598",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IRS",
"identifier": "27-0959639",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ormond Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.