Individual provider Active NPI

Candice Gallion, DOM

  • Acupuncturist
  • Indialantic, FL
National Provider Identifier
1649745910
Registry record updated Jul 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP3935 Issued in FL
Practice address
114 6TH Ave Ste 2
Indialantic, FL 32903-3255
Phone
(321) 409-8808
NPI assigned
Oct 12, 2018
Last updated
Jul 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AP3935 FL Primary

Addresses

Primary practice location

114 6TH Ave Ste 2
Indialantic, FL 32903-3255

Mailing address

114 6TH Ave Ste 3
Indialantic, FL 32903-3255
Phone (321) 446-7632

Other practice location 1

114 6th Ave Ste 3
Indialantic, FL 32903-3255
Phone (321) 722-6722

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
AP3935FLMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
The Health Hub Acupuncturist Past Accepting new patients

Organizations & group practices 2

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": "1539302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595462400000",
    "number": "1649745910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 6TH AVE STE 3",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329033255",
            "telephone_number": "321-446-7632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 6TH AVE STE 2",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329033255",
            "telephone_number": "321-409-8808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "114 6th Ave Ste 3",
            "address_purpose": "LOCATION",
            "city": "Indialantic",
            "state": "FL",
            "postal_code": "329033255",
            "country_code": "US",
            "telephone_number": "321-722-6722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLION",
        "first_name": "CANDICE",
        "credential": "DOM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-12",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP3935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indialantic, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; 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.