NPIMap

Organization Active NPI

Sage Holistic Healthcare

  • Acupuncturist
  • Boca Raton, FL
National Provider Identifier
1700130408
Registry record updated Nov 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
2971 Issued in FL
Legal business name
SAGE HOLISTIC HEALTHCARE
Practice address
301 Crawford Blvd
Suite 103
Boca Raton, FL 33432-3777
Phone
(561) 703-7830
NPI assigned
Nov 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2012

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

Authorized official

Name
Divya Comeau, AP, DOM
Title
President
Phone
(561) 703-7830

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 2971 FL Primary

Addresses

Primary practice location

301 Crawford Blvd
Suite 103
Boca Raton, FL 33432-3777

Mailing address

301 Crawford Blvd
Suite 103
Boca Raton, FL 33432-3777
Phone (561) 703-7830

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1351728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351728000000",
    "number": "1700130408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 CRAWFORD BLVD",
            "address_2": "SUITE 103",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334323777",
            "telephone_number": "561-703-7830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 CRAWFORD BLVD",
            "address_2": "SUITE 103",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334323777",
            "telephone_number": "561-703-7830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE HOLISTIC HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-01",
        "last_updated": "2012-11-01",
        "status": "A",
        "authorized_official_last_name": "COMEAU",
        "authorized_official_first_name": "DIVYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-703-7830",
        "authorized_official_credential": "AP, DOM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "2971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2012; 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.