Organization Active NPI

Wellpoint Integrative Care PA

  • Acupuncturist
  • Hallandale Beach, FL
National Provider Identifier
1689428476
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
WELLPOINT INTEGRATIVE CARE PA
Practice address
1850 S Ocean Dr Apt 1709
Hallandale Beach, FL 33009-7680
Phone
(917) 892-9224
NPI assigned
Apr 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Authorized official

Name
Radislav Kats, LACNPI 1568529857
Title
Owner
Phone
(917) 892-9224

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

1850 S Ocean Dr Apt 1709
Hallandale Beach, FL 33009-7680

Mailing address

1850 S Ocean Dr Apt 1709
Hallandale Beach, FL 33009-7680
Phone (917) 892-9224

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1713225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713225600000",
    "number": "1689428476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 S OCEAN DR APT 1709",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330097680",
            "telephone_number": "917-892-9224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 S OCEAN DR APT 1709",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330097680",
            "telephone_number": "917-892-9224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLPOINT INTEGRATIVE CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-16",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A",
        "authorized_official_last_name": "KATS",
        "authorized_official_first_name": "RADISLAV",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-892-9224",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallandale Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; 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.