Organization Active NPI

Hidden Dragon Healing, Inc.

  • Primary Care Clinic/Center
  • Lake Mary, FL
National Provider Identifier
1538650478
Registry record updated May 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
AP3938 Issued in FL
Legal business name
HIDDEN DRAGON HEALING, INC.
Practice address
160 International Pkwy Ste 250-8
Lake Mary, FL 32746-5056
Phone
(954) 681-3100
NPI assigned
May 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2018

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

Authorized official

Name
Dr. Kimberly Denniese Barnes, O.M.D. L.AC.NPI 1225529126
Title
Acupuncture Physician
Phone
(954) 681-3100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X AP3938 FL Primary

Addresses

Primary practice location

160 International Pkwy Ste 250-8
Lake Mary, FL 32746-5056

Mailing address

182 E Wilbur Ave Unit 45
Lake Mary, FL 32746-3226
Phone (954) 681-3100

National Provider Directory

National Provider Directory

Locations

160 International Pkwy
Ste 2508
Lake Mary, FL 32746
Phone (954) 681-3100

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1527292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527292800000",
    "number": "1538650478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 E WILBUR AVE UNIT 45",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463226",
            "telephone_number": "954-681-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 INTERNATIONAL PKWY STE 250-8",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465056",
            "telephone_number": "954-681-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIDDEN DRAGON HEALING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-26",
        "last_updated": "2018-05-26",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "DENNIESE",
        "authorized_official_title_or_position": "ACUPUNCTURE PHYSICIAN",
        "authorized_official_telephone_number": "954-681-3100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.M.D. L.AC."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "AP3938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.