Active NPI
Bruce Vinikas, DOM
- Acupuncturist
- Sanford, FL
National Provider Identifier
1649430448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AP549
- Practice address
- 101 Crystal VW S
Sanford, FL 32773-4807 - Phone
- (407) 321-1377
- Fax
- (407) 321-7688
- NPI assigned
- Jun 15, 2008
- Sex
- Male
- Sole proprietor
- No
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 | AP549 | FL | Primary |
Addresses
Primary practice location
101 Crystal VW S
Sanford, FL 32773-4807
Mailing address
101 Crystal VW S
Sanford, FL 32773-4807
Phone (407) 321-1377
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AP549 | Other | FL | FLORIDA DEPT OF HEALTH AND PROFESSIONAL REGULATION |
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 |
|---|---|---|---|
| AP549 | FL | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213488000000",
"number": "1649430448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 CRYSTAL VW S",
"city": "SANFORD",
"state": "FL",
"postal_code": "327734807",
"telephone_number": "407-321-1377",
"fax_number": "407-321-7688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 CRYSTAL VW S",
"city": "SANFORD",
"state": "FL",
"postal_code": "327734807",
"telephone_number": "407-321-1377",
"fax_number": "407-321-7688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VINIKAS",
"first_name": "BRUCE",
"name_prefix": "Dr.",
"credential": "DOM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-15",
"last_updated": "2008-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "FL",
"license": "AP549",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA DEPT OF HEALTH AND PROFESSIONAL REGULATION",
"identifier": "AP549",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sanford, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.