Organization Active NPI

Grassroots Medicine and Wellness

Doing business as Damas Wellness

  • Clinic/Center
  • Miami, FL
National Provider Identifier
1538804786
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
GRASSROOTS MEDICINE AND WELLNESS
Doing business as
Damas Wellness
Practice address
8325 NE 2ND Ave Ste 101
Miami, FL 33138-3815
Phone
(833) 362-3262
NPI assigned
May 2, 2022
Last updated
May 2, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2022

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

Authorized official

Name
Fran Bolden
Title
Contractor
Phone
(678) 907-5263

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

8325 NE 2ND Ave Ste 101
Miami, FL 33138-3815

Mailing address

8325 NE 2ND Ave Ste 101
Miami, FL 33138-3815
Phone (833) 362-3262

Other names 1

  • Damas Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

8325 NE 2nd Ave
Ste 101
Miami, FL 33138
Phone (833) 362-3262

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1651449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651449600000",
    "number": "1538804786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8325 NE 2ND AVE STE 101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331383815",
            "telephone_number": "833-362-3262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8325 NE 2ND AVE STE 101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331383815",
            "telephone_number": "833-362-3262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRASSROOTS MEDICINE AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-02",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A",
        "authorized_official_last_name": "BOLDEN",
        "authorized_official_first_name": "FRAN",
        "authorized_official_title_or_position": "CONTRACTOR",
        "authorized_official_telephone_number": "678-907-5263"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Damas Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; 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.