Active NPI
Nicolas Denis Jr.
- Massage Therapist
- Ormond Beach, FL
National Provider Identifier
1619485455
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Nov 19, 2020.
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA68079
- Practice address
- 565 Memorial Cir
Ormond Beach, FL 32174-5001 - Phone
- (386) 310-8766
- Fax
- (386) 310-8770
- NPI assigned
- Jan 15, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA68079 | FL | Primary |
Addresses
Primary practice location
565 Memorial Cir
Ormond Beach, FL 32174-5001
Mailing address
3630 Nantucket Island Dr Apt 204
Port Orange, FL 32129-5341
Phone (386) 931-4272
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA68079 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515974400000",
"number": "1619485455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3630 NANTUCKET ISLAND DR APT 204",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321295341",
"telephone_number": "386-931-4272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "565 MEMORIAL CIR",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321745001",
"telephone_number": "386-310-8766",
"fax_number": "386-310-8770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENIS",
"first_name": "NICOLAS",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-01-15",
"last_updated": "2018-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA68079",
"primary": true
}
],
"identifiers": [],
"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 Jan 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.