Individual provider Active NPI

Pei-CHI Yen, D.O.M., A.P.

  • Acupuncturist
  • Mount Dora, FL
National Provider Identifier
1598274698
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP3785 Issued in FL
Practice address
3739 Lake Center Dr
Mount Dora, FL 32757-2363
Phone
(352) 729-2290
NPI assigned
Sep 21, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AP3785 FL Primary

Addresses

Primary practice location

3739 Lake Center Dr
Mount Dora, FL 32757-2363

Mailing address

2501 S Volusia Ave Ste 200
Orange City, FL 32763-9134
Phone (386) 774-6333

Other practice location 1

2501 S Volusia Ave Ste 200
Orange City, FL 32763-9134
Phone (386) 774-6333

Other practice location 2

929 N Spring Garden Ave Ste 155
Deland, FL 32720-0916
Phone (386) 873-2285

Other practice location 3

4649 Clyde Morris Blvd
Port Orange, FL 32129-3002
Phone (386) 898-0908

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

LicenseStateTypeSpecialty
AP3785FLMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Acupuncture and Physical Therapy Specialists, Inc. Acupuncturist PastSince Sep 1, 2005 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1505952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1598274698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 S VOLUSIA AVE STE 200",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327639134",
            "telephone_number": "386-774-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3739 LAKE CENTER DR",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327572363",
            "telephone_number": "352-729-2290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2501 S Volusia Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Orange City",
            "state": "FL",
            "postal_code": "327639134",
            "country_code": "US",
            "telephone_number": "386-774-6333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "929 N Spring Garden Ave Ste 155",
            "address_purpose": "LOCATION",
            "city": "Deland",
            "state": "FL",
            "postal_code": "327200916",
            "country_code": "US",
            "telephone_number": "386-873-2285",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4649 Clyde Morris Blvd",
            "address_purpose": "LOCATION",
            "city": "Port Orange",
            "state": "FL",
            "postal_code": "321293002",
            "country_code": "US",
            "telephone_number": "386-898-0908",
            "fax_number": "386-898-0908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YEN",
        "first_name": "PEI-CHI",
        "credential": "D.O.M., A.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP3785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Dora, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.