Active NPI
Olena Dementyeva, D.O.M.
- Acupuncturist
- Miami Beach, FL
National Provider Identifier
1578718045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AP2493
- Practice address
- 960 W 41St St
Suite 116
Miami Beach, FL 33140-3326 - Phone
- (786) 999-4499
- NPI assigned
- Nov 24, 2008
- 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 | AP2493 | FL | Primary |
Addresses
Primary practice location
960 W 41St St
Suite 116
Miami Beach, FL 33140-3326
Mailing address
1619 Pennsylvania Ave
Apt # 2
Miami Beach, FL 33139-7714
Phone (786) 999-4499
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 |
|---|---|---|---|
| AP2493 | FL | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227484800000",
"number": "1578718045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1619 PENNSYLVANIA AVE",
"address_2": "APT # 2",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331397714",
"telephone_number": "786-999-4499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "960 W 41ST ST",
"address_2": "SUITE 116",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331403326",
"telephone_number": "786-999-4499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMENTYEVA",
"first_name": "OLENA",
"name_prefix": "Mrs.",
"credential": "D.O.M.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-24",
"last_updated": "2008-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "FL",
"license": "AP2493",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.